NPIMap

Organization Active NPI

Nutrition & Diabetes Counseling Center of NC, LLC

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1457932550
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NUTRITION & DIABETES COUNSELING CENTER OF NC, LLC
Practice address
527 Keisler Dr Ste 101
Cary, NC 27518-9306
Phone
(919) 524-6551
Fax
(844) 364-9280
NPI assigned
Apr 20, 2021
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Maria Kennedy, MPH, RD, LDN, CDCESNPI 1952642175
Title
Owner
Phone
(919) 524-6551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

527 Keisler Dr Ste 101
Cary, NC 27518-9306

Mailing address

527 Keisler Dr Ste 101
Cary, NC 27518-9306
Phone (919) 524-6551

Other names 1

  • Maria Kennedy RD LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210813001900 NC Part B Supplier - Clinic/Group Practice 1052715984 Receives reassigned benefits from 2 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1457932550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-524-6551",
            "fax_number": "844-364-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 KEISLER DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189306",
            "telephone_number": "919-524-6551",
            "fax_number": "844-364-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION & DIABETES COUNSELING CENTER OF NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-524-6551",
        "authorized_official_credential": "MPH, RD, LDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Kennedy RD LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.