Active NPI
Skylar Mathews Creed, RDN, LDN
- Registered Dietitian
- Elizabeth City, NC
National Provider Identifier
1801518469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007035
- Practice address
- 711 Roanoke Ave
Elizabeth City, NC 27909-5643 - Phone
- (252) 338-4400
- NPI assigned
- Sep 12, 2022
- 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 | L007035 | NC | Primary |
Addresses
Primary practice location
711 Roanoke Ave
Elizabeth City, NC 27909-5643
Mailing address
711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone (252) 338-4370
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1801518469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 ROANOKE AVE",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279095643",
"telephone_number": "252-338-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 ROANOKE AVE",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279095643",
"telephone_number": "252-338-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREED",
"first_name": "SKYLAR",
"middle_name": "MATHEWS",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.