Karen Creed

Individual provider Active NPI Registered Dietitian · Jefferson, NC

NPI 1487824686 · NPPES record last updated Mar 4, 2008

Key facts

NPI
1487824686
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
L002010 (NC)
Practice address
200 Hospital Ave
Jefferson, NC 28640-9244
Phone
(336) 846-0735
Fax
(336) 846-0746
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
L002010NCMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L002010 NC Yes

Addresses

Primary practice location

200 Hospital Ave
Jefferson, NC 28640-9244

Mailing address

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-0735

Other providers in Jefferson, NC

All providers in Jefferson, NC · Registered Dietitian in North Carolina

Sources for this page

Verify at the official NPI Registry.