Individual provider Active NPI

Kendall Williams, MSN, RD, LDN

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1548973662
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L007113 Issued in NC
Practice address
501 Douglas St
Durham, NC 27705-3888
Phone
(800) 235-3853
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 L007113 NC Primary

Addresses

Primary practice location

501 Douglas St
Durham, NC 27705-3888

Mailing address

116 Awesome St
Cary, NC 27511-3296
Phone (910) 274-1850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230203000917 NC Practitioner - Registered Dietitian Or Nutrition Professional 7012389802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
L007113NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Dietitian, Registered CurrentSince Jan 9, 2023 Accepting new patients
Duke University Health System, Inc. Dietitian, Registered Current Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 9, 2023 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

501 Douglas St
Durham, NC 27705
Phone (800) 235-3853

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1548973662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AWESOME ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113296",
            "telephone_number": "910-274-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DOUGLAS ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053888",
            "telephone_number": "800-235-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENDALL",
        "credential": "MSN, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.