Mamie W Byrd, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L003168 Issued in NC

Practice address

15 Noble St
Smithfield, NC 27577-9300

Phone

(919) 322-9337

NPI assigned

Aug 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nutrition Solutions Group

  • Registered Dietitian
  • Smithfield, NC
  • NPI 1962782953

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1770830382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ARIEL CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204433",
            "telephone_number": "919-550-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NOBLE ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779300",
            "telephone_number": "919-322-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "MAMIE",
        "middle_name": "W",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003168",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "D1273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgen Burzynski, SLP-CCC
• Tara Denise Bush, N.P.
• Laura Brooke Butler, MA, LCMHC
• Essance Butts, LCMHC-A, NBCC
• Stanley Robert Bylciw, MD
• Rhonda Byrd, MSW, LCSW-A
• Victoria Harney Byrd, MS CCC-SLP
• C-Blac Services, Inc.
• C-Blac Services, Inc.
• Melissa M Cahu de Lima, MS, CCC-SLP

• Registered Dietitian in Smithfield, NC
• Providers in Smithfield, 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 14, 2012; 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.