Active NPI
Keegan Kawai Zavodnik, RD
- Oncology Nutrition Registered Dietitian
- Durham, NC
National Provider Identifier
1609692979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Nutrition Registered Dietitian
- License
- L008307
- Practice address
- 6301 Herndon Rd
Durham, NC 27713-6315 - Phone
- (919) 769-3626
- NPI assigned
- Dec 2, 2024
- 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 |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | L008307 | NC | Primary |
Addresses
Primary practice location
6301 Herndon Rd
Durham, NC 27713-6315
Mailing address
6301 Herndon Rd
Durham, NC 27713-6315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Duke University School of Medicine, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 110566
Durham, NC 27709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L008307 | NC | MD | Oncology Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
6301 Herndon Rd
Durham, NC 27713
Phone (919) 620-5333
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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
- Family Medicine Physician
- Durham, NC
- NPI 1336448810
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1609692979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 HERNDON RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 HERNDON RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136315",
"telephone_number": "919-769-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVODNIK",
"first_name": "KEEGAN",
"middle_name": "KAWAI",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "NC",
"license": "L008307",
"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 Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.