Carolina Nutrition Specialists

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

001101 Issued in NC

Legal business name

CAROLINA NUTRITION SPECIALISTS

Practice address

401 N West St
Suite 121
Raleigh, NC 27603-1399

Phone

(919) 215-7609

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Betsy Covington Mikolajewski, RDNNPI 1457780405

Title

Co-Owner, Nutritionist

Phone

(919) 215-7609

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Betsy Mikolajewski, MPH, RD, LDN

  • Registered Dietitian
  • Cary, NC
  • NPI 1457780405
  NPD (past) Authorized official

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1497107684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 EASTRIDGE DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275396822",
            "telephone_number": "919-215-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WEST ST",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031399",
            "telephone_number": "919-215-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NUTRITION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "MIKOLAJEWSKI",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "COVINGTON",
        "authorized_official_title_or_position": "CO-OWNER, NUTRITIONIST",
        "authorized_official_telephone_number": "919-215-7609",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "001101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Neighbors Home Care, LLC
• Carolina Neurology Consultants
• Carolina Neuropsychological Service, Inc
• Carolina Neuroscience Institute, PC
• Carolina North Transportation
• Carolina Optometry Associates, P.a.
• Carolina Outpatient Detox, LLC
• Carolina Outreach, LLC
• Carolina Outreach, LLC
• Carolina Outreach, LLC

• Health Service Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.