Organization Active NPI

Carolina Core Nutrition & Dietetics

  • Registered Dietitian
  • High Point, NC
National Provider Identifier
1558077594
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CAROLINA CORE NUTRITION & DIETETICS
Practice address
211 W Lexington Ave
High Point, NC 27262-2578
Phone
(336) 781-0100
Fax
(336) 390-5409
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Kimberly Correa, RDN, LDNNPI 1558098806
Title
Ceo
Phone
(336) 781-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Home Delivered Meals 332U00000X

Addresses

Primary practice location

211 W Lexington Ave
High Point, NC 27262-2578

Mailing address

211 W Lexington Ave
High Point, NC 27262-2578
Phone (336) 781-0100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251030001971 NC Part B Supplier - Clinic/Group Practice 1355830209 Receives reassigned benefits from 1 practitioner
Practice locations: High Point, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1558077594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W LEXINGTON AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622578",
            "telephone_number": "336-781-0100",
            "fax_number": "336-390-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W LEXINGTON AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622578",
            "telephone_number": "336-781-0100",
            "fax_number": "336-390-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CORE NUTRITION & DIETETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-781-0100",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.