Active NPI
Life Resources of NC
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1457782104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 976161
- Legal business name
- LIFE RESOURCES OF NC
- Practice address
- 183 Wind Chime CT
Suite 100
Raleigh, NC 27615-6461 - Phone
- (919) 896-8520
- Fax
- (919) 896-8534
- NPI assigned
- Dec 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tasha R. Gaskins, MSW,MPA
- Title
- Ceo
- Phone
- (919) 896-8520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 976161 | NC | Primary |
Addresses
Primary practice location
183 Wind Chime CT
Suite 100
Raleigh, NC 27615-6461
Mailing address
183 Wind Chime CT
Suite 100
Raleigh, NC 27615-6461
Phone (919) 896-8520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518393586 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
183 Wind Chime Ct
Ste 100
Raleigh, NC 27615
Phone (919) 896-8520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395792000000",
"number": "1457782104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 WIND CHIME CT",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156461",
"telephone_number": "919-896-8520",
"fax_number": "919-896-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 WIND CHIME CT",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156461",
"telephone_number": "919-896-8520",
"fax_number": "919-896-8534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE RESOURCES OF NC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-06",
"last_updated": "2014-03-26",
"status": "A",
"authorized_official_last_name": "GASKINS",
"authorized_official_first_name": "TASHA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-896-8520",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW,MPA"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "976161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518393586",
"state": "NC"
}
],
"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 Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.