Individual provider Active NPI

Jaclyn McCabe, RD

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1811504335
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006066 Issued in NC
Practice address
1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254
Phone
(919) 354-7077
Fax
(919) 354-7075
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X L006066 NC
Nutrition Education Nutritionist 133NN1002X L006066 NC
Registered Dietitian 133V00000X L006066 NC Primary

Addresses

Primary practice location

1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254

Mailing address

1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254
Phone (919) 354-7077

Other names 1

  • Jaclyn Corrado Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcorrado846072@direct.novanthealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022001780 NC Practitioner - Registered Dietitian Or Nutrition Professional 7719307206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L006066NCMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Convenient Care, PLLC CurrentSince May 1, 2022 Accepting new patients
NH-CL Clinics, LLC CurrentSince Oct 2, 2020 Accepting new patients
RTP Healthy Wellness PLLC Past Accepting new patients

Locations

98 Chapelton Ct
#310
Chapel Hill, NC 27516
Phone (918) 240-4799

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1811504335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "JACLYN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L006066",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "L006066",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcorrado846072@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "500 Pineview Dr Ste 205",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272843814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "CORRADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.