Organization Active NPI

MSC Nutrition

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1386317535
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MSC NUTRITION
Practice address
3419 Hillsborough Rd
Durham, NC 27705-3008
Phone
(919) 210-8497
NPI assigned
Jul 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Michelle Conteh, RDNPI 1356528202
Title
Provider
Phone
(919) 210-8497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3419 Hillsborough Rd
Durham, NC 27705-3008

Mailing address

PO Box 2727
Durham, NC 27715-2727
Phone (919) 210-8497

Other identifiers 2

IdentifierTypeStateIssuer
L003011OtherREGISTERED DIETITIAN
L006292OtherREGISTERED DIETITIAN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.simplepractice.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3419 Hillsborough Rd
Durham, NC 27705
Phone (919) 210-8497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1386317535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2727",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277152727",
            "telephone_number": "919-210-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 HILLSBOROUGH RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053008",
            "telephone_number": "919-210-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSC NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "CONTEH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "919-210-8497",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "L003011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "L006292",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3419 Hillsborough Rd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277053008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.