Active NPI
Sheren Dari, RDN
- Registered Dietitian
- Wilson, NC
National Provider Identifier
1831795079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86113897
- Practice address
- 1203 S. Goldsboro St.
Wilson, NC 27893 - Phone
- (252) 320-9297
- NPI assigned
- Dec 10, 2020
- Reactivated
- Sep 6, 2023
- 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 | 86113897 | NC | Primary |
Addresses
Primary practice location
1203 S. Goldsboro St.
Wilson, NC 27893
Mailing address
1203 S. Goldsboro St.
Wilson, NC 27893
Phone (252) 292-3512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7124 W 83Rd St
Unit D
Bridgeview, IL 60455-4034
Phone (224) 410-6607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86113897 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy All Time LLC | Dietitian, Registered | Current | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
7124 W 83rd St
Bridgeview, IL 60455
Phone (224) 410-6607
7124 W 83rd St
Unit D
Bridgeview, IL 60455
Phone (224) 410-6607
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": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1831795079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 S. GOLDSBORO ST.",
"city": "WILSON",
"state": "NC",
"postal_code": "27893",
"telephone_number": "252-292-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 S. GOLDSBORO ST.",
"city": "WILSON",
"state": "NC",
"postal_code": "27893",
"telephone_number": "252-320-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARI",
"first_name": "SHEREN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"deactivation_date": "2022-05-03",
"reactivation_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "86113897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.