Active NPI
Colton R Schille, MPH, RD, LDN
- Registered Dietitian
- Winston Salem, NC
National Provider Identifier
1831756188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005146
- Practice address
- 337A Burkewood Dr
Winston Salem, NC 27104-3940 - Phone
- (253) 359-8486
- NPI assigned
- May 22, 2019
- Sex
- Male
- 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 | L005146 | NC | Primary |
Addresses
Primary practice location
337A Burkewood Dr
Winston Salem, NC 27104-3940
Mailing address
337A Burkewood Dr
Winston Salem, NC 27104-3940
Phone (253) 359-8486
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cschille@wakehealth.edu | Wake Forest Baptist Medical Center |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005146 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1831756188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337A BURKEWOOD DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043940",
"telephone_number": "253-359-8486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337A BURKEWOOD DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043940",
"telephone_number": "253-359-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLE",
"first_name": "COLTON",
"middle_name": "R",
"credential": "MPH, RD, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-22",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005146",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cschille@wakehealth.edu",
"affiliation": "Y",
"affiliationName": "Wake Forest Baptist Medical Center",
"address_1": "1 Medical Center Blvd",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271570001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.