Active NPI
Edith N Mubanda, RD.,LDN
- Registered Dietitian
- Boone, NC
National Provider Identifier
1437488988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L000686
- Practice address
- 126 Poplar Grove Connector
Boone, NC 28607-5915 - Phone
- (828) 264-4995
- Fax
- (828) 264-4997
- NPI assigned
- Dec 11, 2009
- Last updated
- Dec 11, 2009
- 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 | L000686 | NC | Primary |
Addresses
Primary practice location
126 Poplar Grove Connector
Boone, NC 28607-5915
Mailing address
126 Poplar Grove Connector
Watauga County Health Department
Boone, NC 28607-5915
Phone (828) 264-4995
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000686 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1437488988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 POPLAR GROVE CONNECTOR",
"address_2": "WATAUGA COUNTY HEALTH DEPARTMENT",
"city": "BOONE",
"state": "NC",
"postal_code": "286075915",
"telephone_number": "828-264-4995",
"fax_number": "828-264-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 POPLAR GROVE CONNECTOR",
"city": "BOONE",
"state": "NC",
"postal_code": "286075915",
"telephone_number": "828-264-4995",
"fax_number": "828-264-4997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUBANDA",
"first_name": "EDITH",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "RD.,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L000686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.