Individual provider Active NPI

Carolyn Dunn

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1407281645
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004020 Issued in NC
Practice address
4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002
Phone
(919) 605-6169
Fax
(919) 515-3483
NPI assigned
Sep 6, 2013
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004020 NC Primary

Addresses

Primary practice location

4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002

Mailing address

4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002
Phone (919) 605-6169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L004020NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina State University Dietitian, Registered CurrentSince Apr 24, 2022 Accepting new patients

Locations

4101 Beryl Rd
Ste 230
Raleigh, NC 27606
Phone (919) 515-8479

512 Brickhaven Dr
#240A
Raleigh, NC 27606

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1407281645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BERYL RD STE 230",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061002",
            "telephone_number": "919-605-6169",
            "fax_number": "919-515-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BERYL RD STE 230",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276061002",
            "telephone_number": "919-605-6169",
            "fax_number": "919-515-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.