Nicole Federica, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L007081 Issued in NC

Practice address

23 Sunnybrook Rd Ste 316
Raleigh, NC 27610-1874

Phone

(919) 350-6002

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, DC2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Potomac Nutrition LLCGroup PAC ID 1355796186, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Potomac Nutrition LLC

  • Registered Dietitian
  • Silver Spring, MD
  • NPI 1922882430

  DC, Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Wakemed Specialists Group, LLC

  • Cardiovascular Disease Physician
  • Raleigh, NC
  • NPI 1588227839
  Medicare reassignment NPD
• Wakemed Specialists Group LLC

  • Cardiac Rehabilitation Registered Nurse
  • Raleigh, NC
  • NPI 1063304228
  NPD
• Wakemed Specialists Group LLC

  • Maternal & Fetal Medicine Physician
  • Raleigh, NC
  • NPI 1518521905
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1447975503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 RIDGE TRACE DRIVE",
            "address_2": "APT. 102, BUILDING 16",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27606",
            "telephone_number": "973-487-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SUNNYBROOK RD STE 316",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101874",
            "telephone_number": "919-350-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICA",
        "first_name": "NICOLE",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Isaiah Feaster
• Rhonda Feasterf
• Megan Glen Feather, LMFT
• Fed and Friendly LLC
• Robert Federchuck
• Vivian Barbour Federowicz, DC
• Shaheen Ahmad Fedewa, PA-C
• Laura Feeney
• Michelle Kidder Fegeley, PA-C
• Michael Justin Feiler, M.D.

• Registered Dietitian in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.