Individual provider Active NPI

Barbara Soysal, RD, LDN

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1417347758
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004212 Issued in NC
Practice address
3900 Browning PL
Suite 101
Raleigh, NC 27609-6508
Phone
(919) 781-9650
Fax
(919) 781-3572
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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 L004212 NC Primary

Addresses

Primary practice location

3900 Browning PL
Suite 101
Raleigh, NC 27609-6508

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwehbie110507@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318002559 NC Practitioner - Registered Dietitian Or Nutrition Professional 7214254895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network Group Practices LLCGroup PAC ID 7810142833, 42 clinicians

Practice addresses (Care Compare)

3900 Browning PL
Suite 101
Raleigh, NC 27609-6529
Phone (919) 781-9650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L004212NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network Group Practices, LLC CurrentSince Jan 26, 2015 Accepting new patients
Unc Physicians Network Group Practices, LLC CurrentSince Jan 26, 2015 Accepting new patients
Boylan Medical Associates PLLC Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

3900 Browning Pl
Ste 101
Raleigh, NC 27609

8300 Health Park
Ste 320
Raleigh, NC 27615
Phone (919) 569-5971

3900 Browning Pl
Ste 202
Raleigh, NC 27609
Phone (919) 782-2735

Interoperability endpoints

  • Direct secure messaging: bwehbie110507@direct.unc.nchie.net

Organizations & group practices 4

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": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1417347758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROWNING PL",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096508",
            "telephone_number": "919-781-9650",
            "fax_number": "919-781-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYSAL",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwehbie110507@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3900 Browning Pl",
            "address_2": "Suite 101",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276096508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 10, 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.

Verify at the official NPI Registry.