Individual provider Active NPI

Kay Edgeworth Graner, MNS,RD,LDN,IFNCP

  • Registered Dietitian
  • Carthage, NC
National Provider Identifier
1497379168
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L000607 Issued in NC
Practice address
676 Michael Rd
Carthage, NC 28327-8906
Phone
(910) 639-2562
NPI assigned
May 29, 2020
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L000607 NC Primary

Addresses

Primary practice location

676 Michael Rd
Carthage, NC 28327-8906

Mailing address

676 Michael Rd
Carthage, NC 28327-8906
Phone (910) 639-2562

Other names 1

  • Ms. Kay E Graner Professional name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L000607NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fortified Med PLLC PastSince Jul 31, 2023 Accepting new patients
Thrive Health & Wellness, Inc. PastSince May 11, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1497379168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 MICHAEL RD",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283278906",
            "telephone_number": "910-639-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 MICHAEL RD",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283278906",
            "telephone_number": "910-639-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANER",
        "first_name": "KAY",
        "middle_name": "EDGEWORTH",
        "name_prefix": "Mrs.",
        "credential": "MNS,RD,LDN,IFNCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "GRANER",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "MNS,RD,LDN,IFNCP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carthage, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.