Active NPI
Mary Warner Keen, RD, LDN
- Registered Dietitian
- Kinston, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002879
- Practice address
- 204 Airport Rd
Kinston, NC 28504-8814 - Phone
- (252) 522-4446
- Fax
- (252) 208-1647
- NPI assigned
- Jul 2, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | VA | ||
| Registered Dietitian | 133V00000X | L002879 | NC | Primary |
Addresses
Primary practice location
204 Airport Rd
Kinston, NC 28504-8814
Mailing address
5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490
Phone (984) 215-4111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mnocera545423@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002879 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
204 Airport Rd
Kinston, NC 28504
Phone (252) 527-9928
701 Doctors Dr
Ste A
Kinston, NC 28501
Phone (252) 522-1626
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
Interoperability endpoints
- mnocera545423@direct.unc.nchie.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1912160706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5221 PARAMOUNT PKWY STE 220",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605490",
"telephone_number": "984-215-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048814",
"telephone_number": "252-522-4446",
"fax_number": "252-208-1647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "MARY",
"middle_name": "WARNER",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002879",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnocera545423@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "701 Doctors Dr Ste A",
"city": "Kinston",
"state": "NC",
"country_code": "US",
"postal_code": "285011584",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.