Active NPI
Stephanie Laykish Nugen, MS, RD, LDN, CDE
- Registered Dietitian
- Edenton, NC
National Provider Identifier
1760816839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L000898
- Practice address
- 211 Virginia Rd
Edenton, NC 27932-9668 - Phone
- (252) 482-8451
- Fax
- (252) 482-6224
- NPI assigned
- Aug 26, 2013
- 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 | L000898 | NC | Primary |
Addresses
Primary practice location
211 Virginia Rd
Edenton, NC 27932-9668
Mailing address
PO Box 629
211 Virginia Road
Edenton, NC 27932-0629
Phone (252) 482-8451
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 |
|---|---|---|---|
| L000898 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1760816839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"address_2": "211 VIRGINIA ROAD",
"city": "EDENTON",
"state": "NC",
"postal_code": "279320629",
"telephone_number": "252-482-8451",
"fax_number": "252-482-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 VIRGINIA RD",
"city": "EDENTON",
"state": "NC",
"postal_code": "279329668",
"telephone_number": "252-482-8451",
"fax_number": "252-482-6224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGEN",
"first_name": "STEPHANIE",
"middle_name": "LAYKISH",
"name_prefix": "Ms.",
"credential": "MS, RD, LDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L000898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.