Active NPI
Nelson Hector Guadalupe, D.H.ED, MS, RD, CSSD
- Registered Dietitian
- Camp Lejeune, NC
National Provider Identifier
1629354709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1027320
- Practice address
- Naval Medical Center, 100 Brewster Blvd.
Camp Lejeune, NC 28547-2538 - Phone
- (910) 450-4056
- NPI assigned
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1027320 | TX | Primary |
Addresses
Primary practice location
Naval Medical Center, 100 Brewster Blvd.
Camp Lejeune, NC 28547-2538
Mailing address
Naval Medical Center, 100 Brewster Blvd.
Camp Lejeune, NC 28547-2538
Phone (910) 450-4056
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nelson.guadalupe.mil@mail.mil | Direct |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027320 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1629354709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER, 100 BREWSTER BLVD.",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER, 100 BREWSTER BLVD.",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472538",
"telephone_number": "910-450-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUADALUPE",
"first_name": "NELSON",
"middle_name": "HECTOR",
"name_prefix": "Dr.",
"credential": "D.H.ED, MS, RD, CSSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2022-02-16",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "1027320",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nelson.guadalupe.mil@mail.mil",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Mil Email",
"address_1": "Naval Medical Center, 100 Brewster Blvd..",
"city": "Camp Lejeune",
"state": "NC",
"country_code": "US",
"postal_code": "28547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.