Active NPI
Tracy Clement Rogers, MS RD LDN
- Registered Dietitian
- Morehead City, NC
National Provider Identifier
1710082573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002454
- Practice address
- 209 N 35TH St
Suite B3
Morehead City, NC 28557-3183 - Phone
- (252) 241-0369
- Fax
- (888) 813-7814
- NPI assigned
- Sep 14, 2006
- 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 | L002454 | NC | Primary |
Addresses
Primary practice location
209 N 35TH St
Suite B3
Morehead City, NC 28557-3183
Mailing address
209 N 35TH St
Suite B3
Morehead City, NC 28557-3183
Phone (252) 241-0369
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1710082573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 N 35TH ST",
"address_2": "SUITE B3",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573183",
"telephone_number": "252-241-0369",
"fax_number": "888-813-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 N 35TH ST",
"address_2": "SUITE B3",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285573183",
"telephone_number": "252-241-0369",
"fax_number": "888-813-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TRACY",
"middle_name": "CLEMENT",
"name_prefix": "Ms.",
"credential": "MS RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morehead City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.