Active NPI
Carol C Bottoms, RD
- Registered Dietitian
- Wilmington, NC
National Provider Identifier
1831239110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L000821
- Practice address
- 1650 Greenfield St
Wilmington, NC 28401-6456 - Phone
- (910) 798-3500
- Fax
- (910) 798-7834
- NPI assigned
- Feb 7, 2007
- 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 | L000821 | NC | Primary |
Addresses
Primary practice location
1650 Greenfield St
Wilmington, NC 28401-6456
Mailing address
1650 Greenfield St
Wilmington, NC 28401-6456
Phone (910) 798-3500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000821 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1831239110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 GREENFIELD ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016456",
"telephone_number": "910-798-3500",
"fax_number": "910-798-7834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GREENFIELD ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016456",
"telephone_number": "910-798-3500",
"fax_number": "910-798-7834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTOMS",
"first_name": "CAROL",
"middle_name": "C",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L000821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.