Kametria Tashai McNeil

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005217 Issued in NC

Practice address

526 Ramsey St
Fayetteville, NC 28301-4912

Phone

(704) 989-1800

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1801513312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 TETTENBURY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067811",
            "telephone_number": "704-989-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014912",
            "telephone_number": "704-989-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "KAMETRIA",
        "middle_name": "TASHAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charna Patrice McNair
• Jordan Taylor McNally
• Jason Samuel McNaughten, CPO CERT PROSTH/ORTH
• Courtney Lashawn McNeil Taylor
• Joy Nicole McNeil, PHD, LCMHC, NCC
• Kennedy McNeil
• Shanicha McNeil
• Alisan McNeill, BT
• Byron Lawrence McNeill Jr., DDS
• Cynetra McNeill

• Registered Dietitian in Fayetteville, NC
• Providers in Fayetteville, 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 Oct 25, 2022; 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.