Organization Active NPI

Her the Rebellion LLC

  • Public Health or Welfare Agency
  • Greensboro, NC
National Provider Identifier
1821966698
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HER THE REBELLION LLC
Practice address
15 Holly Crest CT
Greensboro, NC 27410-9124
Phone
(910) 650-8532
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Alexandra Mei Castor, REGISTERED DIETITIANNPI 1518855170
Title
Co-Owner
Phone
(541) 514-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

15 Holly Crest CT
Greensboro, NC 27410-9124

Mailing address

15 Holly Crest CT
Greensboro, NC 27410-9124
Phone (910) 650-8532

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1821966698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOLLY CREST CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109124",
            "telephone_number": "910-650-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOLLY CREST CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274109124",
            "telephone_number": "910-650-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER THE REBELLION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "MEI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "541-514-7891",
        "authorized_official_credential": "REGISTERED DIETITIAN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.