Individual provider Active NPI

Colton R Schille, MPH, RD, LDN

  • Registered Dietitian
  • Winston Salem, NC
National Provider Identifier
1831756188
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005146 Issued in NC
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
L005146NCMDRegistered 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.

Verify at the official NPI Registry.