Durham Lifestyle Management LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

DURHAM LIFESTYLE MANAGEMENT LLC

Practice address

5324 McFarland Rd
Ste 150
Durham, NC 27707-6865

Phone

(919) 354-7077

Fax

(919) 354-7075

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Eric Henderson

Title

President

Phone

(919) 260-8423

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1871973396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 MCFARLAND RD",
            "address_2": "STE 150",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076865",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 MCFARLAND RD",
            "address_2": "STE 150",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076865",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM LIFESTYLE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-260-8423"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.