Organization Active NPI

County of Robeson Office of Treasurer

  • Nutritionist
  • Lumberton, NC
National Provider Identifier
1881970598
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
L001881 Issued in NC
Legal business name
COUNTY OF ROBESON OFFICE OF TREASURER
Practice address
460 Country Club Rd
Lumberton, NC 28360-9494
Phone
(910) 671-3200
Fax
(910) 608-2120
NPI assigned
Oct 26, 2011
Organization subpart
Yes
Parent organization
COUNTY OF ROBESONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Suzanne B Jackson
Title
Director
Phone
(910) 671-3404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X L001881 NC Primary

Addresses

Primary practice location

460 Country Club Rd
Lumberton, NC 28360-9494

Mailing address

460 Country Club Rd
Lumberton, NC 28360-9494
Phone (910) 671-3200

Other identifiers 1

IdentifierTypeStateIssuer
3404452MedicaidNC

Other names 1

  • Robeson County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robeson Co Health Dept11 organizations share this tax ID, including this one
Part of
Robeson Co Health Dept

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

460 Country Club Rd
Lumberton, NC 28360
Phone (910) 671-3200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1881970598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 COUNTRY CLUB RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609494",
            "telephone_number": "910-671-3200",
            "fax_number": "910-608-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 COUNTRY CLUB RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609494",
            "telephone_number": "910-671-3200",
            "fax_number": "910-608-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROBESON OFFICE OF TREASURER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ROBESON",
        "enumeration_date": "2011-10-26",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-671-3404"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L001881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404452",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robeson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robeson County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.