Preston Wayne Stephenson, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LOO5646 Issued in NC

Practice address

18 Oak Branch Dr Ste C
Greensboro, NC 27407-2444

Phone

(336) 579-2312

Fax

(336) 579-2365

NPI assigned

Mar 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1710445796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OAK BRANCH DR STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072444",
            "telephone_number": "336-579-2312",
            "fax_number": "336-579-2365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Pineview Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272843814",
            "country_code": "US",
            "telephone_number": "336-329-3295",
            "fax_number": "336-355-5204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "PRESTON",
        "middle_name": "WAYNE",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "LOO5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstephenson823797@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "18 Oak Branch Dr Ste C",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274072444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Step by Step Care, Inc.
• Step by Step Care, Inc.
• Stephanie Kaye Harding, DDS, P.a.
• Melanie Elise Burnett Stephens, LCMHC
• Margaret Elizabeth Stephenson, LCSW
• Shakeera Stephenson
• Steps of Change Too
• Steps of Change, LLC
• Steps to Success
• Steps to Success

• Registered Dietitian in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.