Active NPI
Christine Laura Canterberry, MS, RD, LD.
- Registered Dietitian
- Charleston, WV
National Provider Identifier
1386345676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1085
- Practice address
- 1206 Virginia St E Ste 204
Charleston, WV 25301-2937 - Phone
- (304) 395-5530
- Fax
- (681) 245-6369
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1085 | WV | Primary |
Addresses
Primary practice location
1206 Virginia St E Ste 204
Charleston, WV 25301-2937
Mailing address
816 Glendale Ave
South Charleston, WV 25303-2519
Phone (304) 395-5530
Other practice location 1
816 Glendale Ave
South Charleston, WV 25303-2519
Phone (304) 395-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Fare Nutrition Services, LLC. | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- South Charleston, WV
- NPI 1275218356
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1386345676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 GLENDALE AVE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253032519",
"telephone_number": "304-395-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 VIRGINIA ST E STE 204",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012937",
"telephone_number": "304-395-5530",
"fax_number": "681-245-6369"
}
],
"practiceLocations": [
{
"address_1": "816 Glendale Ave",
"address_purpose": "LOCATION",
"city": "South Charleston",
"state": "WV",
"postal_code": "253032519",
"country_code": "US",
"telephone_number": "304-395-5530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANTERBERRY",
"first_name": "CHRISTINE",
"middle_name": "LAURA",
"credential": "MS, RD, LD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WV",
"license": "1085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.