Individual provider Active NPI

Andrea Halbsgut, MS RD LDN

  • Registered Dietitian
  • Chapel Hill, NC
National Provider Identifier
1831964808
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006021 Issued in NC
Practice address
1512 E Franklin St Ste 105
Chapel Hill, NC 27514-2816
Phone
(908) 752-0543
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X L006021 NC Primary

Addresses

Primary practice location

1512 E Franklin St Ste 105
Chapel Hill, NC 27514-2816

Mailing address

206 Northcliff Dr
Durham, NC 27712-3447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 6, 2024 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L006021NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lutz & Alexander Nutrition Therapy Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1831964808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 NORTHCLIFF DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277123447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E FRANKLIN ST STE 105",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142816",
            "telephone_number": "908-752-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBSGUT",
        "first_name": "ANDREA",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.