Active NPI
Kyaun Peppers
- Nutritionist
- Wilson, NC
National Provider Identifier
1639870678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 400 Minchew St SE
Wilson, NC 27893-6519 - Phone
- (252) 292-4559
- NPI assigned
- Mar 16, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
400 Minchew St SE
Wilson, NC 27893-6519
Mailing address
400 Minchew St SE
Wilson, NC 27893-6519
Phone (252) 292-4559
Other names 1
- Kyaun Peppers
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peppers Steppin Lifestyle Fitness | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Wilson, NC
- NPI 1659004554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1639870678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MINCHEW ST SE",
"city": "WILSON",
"state": "NC",
"postal_code": "278936519",
"telephone_number": "252-292-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MINCHEW ST SE",
"city": "WILSON",
"state": "NC",
"postal_code": "278936519",
"telephone_number": "252-292-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPERS",
"first_name": "KYAUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYAUN",
"last_name": "PEPPERS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.