Individual provider Active NPI

Christie Nicholson, MS, RD, LDN, CR

  • Registered Dietitian
  • Greenville, NC
National Provider Identifier
1437480811
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L001889 Issued in NC
Practice address
3005B S Memorial Dr
Greenville, NC 27834-6224
Phone
(252) 758-0721
Fax
(252) 756-7845
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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 L001889 NC Primary

Addresses

Primary practice location

3005B S Memorial Dr
Greenville, NC 27834-6224

Mailing address

3005B S Memorial Dr
Greenville, NC 27834-6224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100203000942 NC Practitioner - Registered Dietitian Or Nutrition Professional 8820131576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3005 B S Memorial Dr
Greenville, NC 27834-6224
Phone (252) 758-0721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L001889NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
County of Nash CurrentSince Nov 15, 2011 Accepting new patients
Albemarle Regional Health Services CurrentSince May 1, 2013 Accepting new patients
Nutrition Plus of Greenville Inc. Dietitian, Registered CurrentSince Nov 1, 2009 Accepting new patients
Albemarle Regional Health Services CurrentSince May 1, 2013 Accepting new patients

Locations

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

3005B S Memorial Dr
Greenville, NC 27834
Phone (252) 758-0721

214 S Barnes St
Nashville, NC 27856
Phone (252) 459-9819

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": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1437480811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005B S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005B S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278346224",
            "telephone_number": "252-758-0721",
            "fax_number": "252-756-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "CHRISTIE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN, CR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.