Individual provider Active NPI

Rachel Leigh Gary, RDN, LDN

  • Registered Dietitian
  • Southern Pines, NC
National Provider Identifier
1609510213
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006798 Issued in NC
Practice address
760C NW Broad St
Southern Pines, NC 28387-4102
Phone
(916) 431-0236
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 L006798 NC Primary

Addresses

Primary practice location

760C NW Broad St
Southern Pines, NC 28387-4102

Mailing address

760C NW Broad St
Southern Pines, NC 28387-4102

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

State licenses

LicenseStateTypeSpecialty
L006798NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health & Wellness, Inc. CurrentSince Oct 19, 2022 Accepting new patients
Fortified Med PLLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

760C NW Broad St
Southern Pines, NC 28387
Phone (916) 431-0236

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1609510213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760C NW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760C NW BROAD ST",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874102",
            "telephone_number": "916-431-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "RACHEL",
        "middle_name": "LEIGH",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.