Active NPI
Deborah Wilson, R.D., L.D.N.
- Registered Dietitian
- Rocky Mount, NC
National Provider Identifier
1679762090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002423
- Practice address
- 901 N Winstead Ave
Rocky Mount, NC 27804-8467 - Phone
- (252) 937-0262
- Fax
- (252) 937-0445
- NPI assigned
- Oct 22, 2007
- 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 | L002423 | NC | Primary |
Addresses
Primary practice location
901 N Winstead Ave
Rocky Mount, NC 27804-8467
Mailing address
503 Trade St
Tarboro, NC 27886-4321
Phone (252) 824-7657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002423 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1679762090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 TRADE ST",
"city": "TARBORO",
"state": "NC",
"postal_code": "278864321",
"telephone_number": "252-824-7657",
"fax_number": "252-824-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048467",
"telephone_number": "252-937-0262",
"fax_number": "252-937-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.