Active NPI
Teju Lakkundi, RDN CDCES
- Registered Dietitian
- Cary, NC
National Provider Identifier
1396285854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1087881
- Practice address
- 217 Turner Oaks Dr
Cary, NC 27519-5589 - Phone
- (309) 363-3011
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L006583 | NC | |
| Registered Dietitian | 133V00000X | 1087881 | Primary |
Addresses
Primary practice location
217 Turner Oaks Dr
Cary, NC 27519-5589
Mailing address
217 Turner Oaks Dr
Cary, NC 27519-5589
Phone (309) 363-3011
Other names 1
- Tejaswini Mirji-Lakkundi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
217 Turner Oaks Dr
Cary, NC 27519-5589
Phone (309) 363-3011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006583 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition for You LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1396285854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 TURNER OAKS DR",
"city": "CARY",
"state": "NC",
"postal_code": "275195589",
"telephone_number": "309-363-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 TURNER OAKS DR",
"city": "CARY",
"state": "NC",
"postal_code": "275195589",
"telephone_number": "309-363-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKKUNDI",
"first_name": "TEJU",
"credential": "RDN CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006583",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "1087881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEJASWINI",
"last_name": "MIRJI-LAKKUNDI",
"credential": "RDN, CDCES",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.