Active NPI
Taylor Hollingsworth, RD, LDN
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1740616994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003825
- Practice address
- 3708 Forestview Rd Ste 205
Raleigh, NC 27612 - Phone
- (919) 354-7077
- NPI assigned
- Sep 19, 2013
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
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 | L003825 | NC | Primary |
Addresses
Primary practice location
3708 Forestview Rd Ste 205
Raleigh, NC 27612
Mailing address
PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200
Other names 1
- Taylor Ford Loftis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131209001207 | NC | Practitioner - Registered Dietitian Or Nutrition Professional | 9436386984 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1740616994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7200",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040200",
"telephone_number": "252-937-0200",
"fax_number": "252-451-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 FORESTVIEW RD STE 205",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27612",
"telephone_number": "919-354-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "TAYLOR",
"name_prefix": "Ms.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "LOFTIS",
"middle_name": "FORD",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.