Mary Sobnosky Gross, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L000615 Issued in NC

Practice address

416 Constitution Dr
Durham, NC 27705-2853

Phone

(919) 382-2819

Fax

(919) 382-2029

NPI assigned

Aug 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mary B Gross Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1659563344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CONSTITUTION DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052853",
            "telephone_number": "919-382-2819",
            "fax_number": "919-382-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CONSTITUTION DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052853",
            "telephone_number": "919-382-2819",
            "fax_number": "919-382-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "MARY",
        "middle_name": "SOBNOSKY",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L000615",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GROSS",
            "middle_name": "B",
            "credential": "MS, RD, LDN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ronyka Rawlings Dashon Grizzle, MSW, LCSWA
• Madeline Ann Grobe, PA-C
• Hilary Grocott, M.D.
• K Elizabeth A Grooms, D.D.S.
• Andrew Stephen Grose
• Ryan Taylor Gross, DDS
• Leigh Ellen Grossfeld
• Samuel M Grossinger, PA
• Justine Alexandra Grosso, PSYD
• Grounded Lactation

• Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.