Individual provider Active NPI

Julia Bumpus, RD

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1699275123
Registry record updated Dec 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004438 Issued in NC
Practice address
1821 Martin Luther King Pkwy
Durham, NC 27707-6336
Phone
(919) 748-4990
Fax
(919) 748-4991
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004438 NC Primary

Addresses

Primary practice location

1821 Martin Luther King Pkwy
Durham, NC 27707-6336

Mailing address

10900 World Trade Blvd
Raleigh, NC 27617-4202
Phone (336) 549-3034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709003238 NC Practitioner - Registered Dietitian Or Nutrition Professional 0446506216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

1964 S Main St
Wake Forest, NC 27587-9336
Phone (919) 748-4915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L004438NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Jun 18, 2018 Accepting new patients
Breakthrough Physical Therapy Inc PastSince Jun 18, 2018 Accepting new patients

Locations

1821 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 748-4980

10900 World Trade Blvd
Raleigh, NC 27617
Phone (919) 237-1337

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

1964 S Main St
Wake Forest, NC 27587
Phone (919) 554-0177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543708800000",
    "number": "1699275123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 WORLD TRADE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174202",
            "telephone_number": "336-549-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 MARTIN LUTHER KING PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076336",
            "telephone_number": "919-748-4990",
            "fax_number": "919-748-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMPUS",
        "first_name": "JULIA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.