Individual provider Active NPI

Virginia Weber Wolf, RD, LDN

  • Nutritionist
  • Goldsboro, NC
National Provider Identifier
1912132515
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
L001300 Issued in NC
Practice address
407 N Herman St
Goldsboro, NC 27530-3816
Phone
(919) 583-9788
Fax
(919) 583-9790
NPI assigned
May 27, 2009
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X L001300 NC Primary
Registered Dietitian 133V00000X L001300 NC

Addresses

Primary practice location

407 N Herman St
Goldsboro, NC 27530-3816

Mailing address

407 N Herman St
Goldsboro, NC 27530-3816
Phone (919) 583-9788

Other practice location 1

23 Sunnybrook Rd
Raleigh, NC 27610-1855
Phone (919) 350-6002

Other identifiers 2

IdentifierTypeStateIssuer
1013390335OtherNCNPI
1912132515OtherNCBLUE CROSS/BLUE SHIELD OF NC

Other names 1

  • Virginia Weber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000034 NC Practitioner - Registered Dietitian Or Nutrition Professional 6305999277 Reassigns benefits to 2 organizations
Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L001300NCMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wake Specialty Physicians, LLC Current Accepting new patients
Virginia W Wolf Dietitian, Registered PastSince Jan 1, 2023 Accepting new patients
Kevin Jay Wolf PastSince Nov 1, 1994 Accepting new patients

Locations

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

101 Cotten Ln
Holly Springs, NC 27540
Phone (919) 235-6456

901 Old Knight Rd
Knightdale, NC 27545
Phone (919) 266-6211

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 350-6002

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1912132515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N HERMAN ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303816",
            "telephone_number": "919-583-9788",
            "fax_number": "919-583-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N HERMAN ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303816",
            "telephone_number": "919-583-9788",
            "fax_number": "919-583-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Sunnybrook Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101855",
            "country_code": "US",
            "telephone_number": "919-350-6002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "VIRGINIA",
        "middle_name": "WEBER",
        "name_prefix": "Ms.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L001300",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013390335",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF NC",
            "identifier": "1912132515",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "WEBER",
            "credential": "RD CDE LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.