Active NPI
Kristen Elledge Andrews, RD, LDN
- Registered Dietitian
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004063
- Practice address
- 1400 Westgate Center Dr Ste 110
Winston Salem, NC 27103-3104 - Phone
- (336) 277-1660
- NPI assigned
- Oct 25, 2012
- 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 | L004063 | NC | Primary |
Addresses
Primary practice location
1400 Westgate Center Dr Ste 110
Winston Salem, NC 27103-3104
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 Kernersville Medical Pkwy
Suite 210
Kernersville, NC 27284-7157
Phone (336) 564-4065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004063 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
1918 Randolph Rd
Ste 220
Charlotte, NC 28207
Phone (704) 316-1125
517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406
5175 Old Clemmons School Rd
Clemmons, NC 27012
Phone (336) 718-3960
1710 Kernersville Medical Pkwy
Ste 210
Kernersville, NC 27284
Phone (336) 564-4065
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
903 Randolph St
Thomasville, NC 27360
Phone (336) 475-7163
2001 Todays Woman Ave
Winston Salem, NC 27105
Phone (336) 722-1818
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
1351 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-7777
1350 Whitaker Ridge Dr
Winston Salem, NC 27106
Phone (336) 718-8000
Organizations & group practices 4
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Kernersville, NC
- NPI 1306482922
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1902159130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WESTGATE CENTER DR STE 110",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033104",
"telephone_number": "336-277-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "KRISTEN",
"middle_name": "ELLEDGE",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 5, 2022; 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.