Organization Active NPI

Janie Hoag

Doing business as Custom Fit Nutrition and Wellness

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1699191577
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002985 Issued in NC
Legal business name
JANIE HOAG
Doing business as
Custom Fit Nutrition and Wellness
Practice address
804 Salem Woods Dr
Suite 202
Raleigh, NC 27615-3343
Phone
(919) 413-3489
NPI assigned
Mar 14, 2014
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Janie Hoag, RD
Title
Owner
Phone
(919) 413-3489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X L002985 NC Primary

Addresses

Primary practice location

804 Salem Woods Dr
Suite 202
Raleigh, NC 27615-3343

Mailing address

7705 Prospector PL
Raleigh, NC 27615-6036

Other names 1

  • Custom Fit Nutrition and Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1699191577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 PROSPECTOR PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SALEM WOODS DR",
            "address_2": "SUITE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153343",
            "telephone_number": "919-413-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIE HOAG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "HOAG",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-413-3489",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Fit Nutrition and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.