Individual provider Active NPI

Beverly Nesbit, MA, RDN, LDN

  • Registered Dietitian
  • Winston Salem, NC
National Provider Identifier
1629423181
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LDN00954 Issued in NC
Practice address
1834 Wake Forest Rd
1158 Worrell Professional Center
Winston Salem, NC 27109-6000
Phone
(336) 758-4272
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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 LDN00954 NC Primary

Addresses

Primary practice location

1834 Wake Forest Rd
1158 Worrell Professional Center
Winston Salem, NC 27109-6000

Mailing address

335 Friendship Cir
Winston Salem, NC 27106-3906
Phone (336) 758-4272

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 Arts

State licenses

LicenseStateTypeSpecialty
LDN00954NCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1629423181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 FRIENDSHIP CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063906",
            "telephone_number": "336-758-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 WAKE FOREST RD",
            "address_2": "1158 WORRELL PROFESSIONAL CENTER",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096000",
            "telephone_number": "336-758-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "BEVERLY",
        "credential": "MA, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "LDN00954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.