Marie Harvin Nyberg, RD, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

L002976 Issued in NC

Practice address

301 N Herman St
Box CC Wic
Goldsboro, NC 27530-2973

Phone

(919) 731-1222

NPI assigned

Dec 18, 2007

Last updated

Jul 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Marie Harvin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1568646248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HERMAN ST",
            "address_2": "BOX CC WIC",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302973",
            "telephone_number": "919-731-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HERMAN ST",
            "address_2": "BOX CC WIC",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302973",
            "telephone_number": "919-731-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "MARIE",
        "middle_name": "HARVIN",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L002976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HARVIN",
            "middle_name": "MARIE",
            "credential": "RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Celeste Novchich, FNP
• Leasa C Novotny, IDMT
• Glen A Nowachek, MD
• Roger Jerome Nunes, ED.D.
• Lesley Nunn, FNP
• Broderick Nykaza
• O.R. Stovall DDS
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• O'Berry Neuro-Medical Treatment Center
• O'Berry Neuro-Medical Treatment Center

• Nutritionist in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.