Active NPI
Stacie Harrison, RDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1427824705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254 - Phone
- (919) 354-7077
- Fax
- (919) 354-7075
- NPI assigned
- Nov 28, 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 | Primary |
Addresses
Primary practice location
1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254
Mailing address
1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254
Phone (919) 354-7077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213003607 | SC | Practitioner - Registered Dietitian Or Nutrition Professional | 9133578354 | |
| I20250412000313 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 9133578354 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2769 | SC | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norma J Cortez DDS PA | Past | 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": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1427824705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SUNDAY DR STE 309",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276075254",
"telephone_number": "919-354-7077",
"fax_number": "919-354-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SUNDAY DR STE 309",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276075254",
"telephone_number": "919-354-7077",
"fax_number": "919-354-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "STACIE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 10, 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.