Wilson Andrew Harris III, MS, RDN, CSSD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1992 Issued in TN

Practice address

1050 Jabara Ave
Seymour Johnson a F B, NC 27531-2310

Phone

(919) 722-0407

NPI assigned

Jan 11, 2016

Last updated

Feb 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1659737419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 JABARA AVE",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 JABARA AVE",
            "city": "SEYMOUR JOHNSON A F B",
            "state": "NC",
            "postal_code": "275312310",
            "telephone_number": "919-722-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "WILSON",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, RDN, CSSD, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002576",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelby Joseph Sage Durnin, IDMT
• Alan Mitchell Flower, D.O.
• David Layne Frederick Jr., IDMT
• Americo Nicola Gambella, D.D.S.
• Elizabeth Gminski, DNP, NP-C
• Shannon Susan Hill, NP
• Taylor Holloway, DNP, FNP-C
• Stephen Brian Irvin, MD
• Christopher Gary Keeton
• Rachel Eden Leigh Palmer, DO

• Registered Dietitian in Seymour Johnson AFB, NC
• Providers in Seymour Johnson AFB, 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 Feb 28, 2025; 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.