Active NPI
Whitney Ann Self, MS, RD, LDN
- Registered Dietitian
- Greensboro, NC
National Provider Identifier
1548877814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006207
- Practice address
- 18 Oak Branch Dr Ste C
Greensboro, NC 27407-2444 - Phone
- (336) 579-2312
- Fax
- (336) 579-2365
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L006207 | NC | Primary |
Addresses
Primary practice location
18 Oak Branch Dr Ste C
Greensboro, NC 27407-2444
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Other practice location 1
500 Pineview Dr Ste 205
Kernersville, NC 27284-3814
Phone (336) 329-3295
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wself845418@direct.novanthealth.org |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006207 | NC | MD | Registered Dietitian |
Interoperability endpoints
- wself845418@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1548877814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604050",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 OAK BRANCH DR STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274072444",
"telephone_number": "336-579-2312",
"fax_number": "336-579-2365"
}
],
"practiceLocations": [
{
"address_1": "500 Pineview Dr Ste 205",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272843814",
"country_code": "US",
"telephone_number": "336-329-3295",
"fax_number": "336-355-5204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELF",
"first_name": "WHITNEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006207",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wself845418@direct.novanthealth.org",
"affiliation": "N",
"address_1": "18 Oak Branch Dr Ste C",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274072444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.