Active NPI
Davis E Nolan, MS, RD, LDN
- Registered Dietitian
- Apex, NC
National Provider Identifier
1710033444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002692
- Practice address
- 307 S Salem St Ste 302
Apex, NC 27502-1845 - Phone
- (919) 367-0677
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | L002692 | NC | Primary |
Addresses
Primary practice location
307 S Salem St Ste 302
Apex, NC 27502-1845
Mailing address
6504 Westborough Dr
Raleigh, NC 27612-1882
Phone (919) 302-6033
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002692 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personalized Nutrition, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710033444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6504 WESTBOROUGH DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276121882",
"telephone_number": "919-302-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 S SALEM ST STE 302",
"city": "APEX",
"state": "NC",
"postal_code": "275021845",
"telephone_number": "919-367-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "DAVIS",
"middle_name": "E",
"credential": "MS, RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apex, NC
- Laurie K Nicholson, MS, LCMHCA, NCC
- Laura Nighorn, M.D.
- Swetha Nimmagadda, DMD
- Alice Alston Noell, DMIN.
- Youri Francisco Noffz
- Elizabeth Norman, MA, CCC-SLP
- Donna Mansour Norris, LPA MA
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #17050)
- North Carolina CVS Pharmacy, L.L.C. (CVS Pharmacy#05886)
- North Carolina Institute of Advanced Neurohealth PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.