Active NPI
Betsy Mikolajewski, MPH, RD, LDN
- Registered Dietitian
- Cary, NC
National Provider Identifier
1457780405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001101
- Practice address
- 105 Brady CT
Cary, NC 27511-4554 - Phone
- (919) 380-7450
- NPI assigned
- Nov 9, 2013
- 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 | L001101 | NC | Primary |
Addresses
Primary practice location
105 Brady CT
Cary, NC 27511-4554
Mailing address
105 Brady CT
Cary, NC 27511-4554
Phone (919) 380-7450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2019 through Jan 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001101 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Nutrition Specialists | Past | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Service Clinic/Center
- Raleigh, NC
- NPI 1497107684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383955200000",
"number": "1457780405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BRADY CT",
"city": "CARY",
"state": "NC",
"postal_code": "275114554",
"telephone_number": "919-380-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BRADY CT",
"city": "CARY",
"state": "NC",
"postal_code": "275114554",
"telephone_number": "919-380-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKOLAJEWSKI",
"first_name": "BETSY",
"credential": "MPH, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-09",
"last_updated": "2013-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.