Sarah Edwards Duong

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L004729 Issued in NC

Practice address

1102 Country Club Rd
Wilmington, NC 28403-2517

Phone

(919) 738-7520

NPI assigned

Sep 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 29, 2023 through Dec 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Renew Nutrition LLC

  • Registered Dietitian
  • Wilmington, NC
  • NPI 1932886629

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1902276520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 COUNTRY CLUB RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032517",
            "telephone_number": "919-738-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 COUNTRY CLUB RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032517",
            "telephone_number": "919-738-7520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2269 Nc Highway 111 S",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275346972",
            "country_code": "US",
            "telephone_number": "910-833-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "SARAH",
        "middle_name": "EDWARDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Adam Dunlap, PA
• Kelley Dunn, OTRL
• Thaddeus Leland Dunn, MD
• Rachel Lorraine Dunne
• Cathryn Dunty, PA
• Johannes Petrus Duplessis, PT
• Bryan Dupree, PHARMD
• Kelly Duque, M.S., CCC-SLP
• Charla Marie Durante Alvarez, LCMHC, LCASA
• Allison Marie Durchholz

• Registered Dietitian in Wilmington, NC
• Providers in Wilmington, 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 Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.