Individual provider Active NPI

Karen Stephanie Buynak, MS, RD

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1740909712
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86293817 Issued in VA
Practice address
3600 NW Cary Pkwy
Cary, NC 27513-8444
Phone
(434) 996-0745
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 86293817 VA Primary

Addresses

Primary practice location

3600 NW Cary Pkwy
Cary, NC 27513-8444

Mailing address

2376 Ilex CT
Charlottesville, VA 22911-9063
Phone (434) 996-0745

Other identifiers 1

IdentifierTypeStateIssuer
86293817OtherCOMMISSION ON REGISTRATION OF DIETETICS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011001185 NC Practitioner - Registered Dietitian Or Nutrition Professional 0840676136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

Practice addresses (Care Compare)

3600 NW Cary Pkwy
Suite 104
Cary, NC 27513-8444
Phone (919) 319-9219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86293817VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Oct 1, 2022 Accepting new patients
Preston Medical Associates PA PastSince Aug 28, 2022 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

3600 NW Cary Pkwy
Cary, NC 27513
Phone (434) 996-0745

3600 NW Cary Pkwy
Ste 104
Cary, NC 27513
Phone (919) 319-9219

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

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

Organizations & group practices 3

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1740909712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 ILEX CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229119063",
            "telephone_number": "434-996-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW CARY PKWY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138444",
            "telephone_number": "434-996-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYNAK",
        "first_name": "KAREN",
        "middle_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86293817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON REGISTRATION OF DIETETICS",
            "identifier": "86293817",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.