Active NPI
Mariah Jane Lewis, RD, LDN
- Registered Dietitian
- Holly Springs, NC
National Provider Identifier
1669857702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002989
- Practice address
- 781 Avent Ferry Rd
Suite 206
Holly Springs, NC 27540-7776 - Phone
- (919) 552-8914
- NPI assigned
- Jul 29, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002989 | NC | Primary |
Addresses
Primary practice location
781 Avent Ferry Rd
Suite 206
Holly Springs, NC 27540-7776
Mailing address
1600 Perimeter Park Dr
Suite 225
Morrisville, NC 27560-8421
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1669857702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PERIMETER PARK DR",
"address_2": "SUITE 225",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "781 AVENT FERRY RD",
"address_2": "SUITE 206",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275407776",
"telephone_number": "919-552-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARIAH",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.