Active NPI
Heather Renee Cupp, R.D.
- Registered Dietitian
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006978
- Practice address
- 2930 Forestville Rd
Raleigh, NC 27616-8774 - Phone
- (919) 235-6550
- NPI assigned
- Dec 19, 2005
- Last updated
- Oct 23, 2023
- 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 | NU | ||
| Registered Dietitian | 133V00000X | L006978 | NC | Primary |
Addresses
Primary practice location
2930 Forestville Rd
Raleigh, NC 27616-8774
Mailing address
PO Box 602195
Charlotte, NC 28260-2195
Phone (877) 498-4490
Other practice location 1
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone (858) 552-8585 ext. 3373
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Ashville Ave
Cary, NC 27518-6600
Phone (919) 350-2800
2930 Forestville Rd
Raleigh, NC 27616-8774
Phone (919) 235-6550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Current | Accepting new patients |
Locations
210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
2930 Forestville Rd
Raleigh, NC 27616
Phone (919) 235-6500
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Organizations & group practices 6
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.
-
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- NPI 1942440375
-
- Cardiovascular Disease Physician
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- NPI 1588227839
-
dba WakeMed Center for Community Health
- Family Medicine Physician
- Raleigh, NC
- NPI 1528704418
-
dba WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
-
dba WakeMed - Virtual Cardiac Rehab
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Otolaryngology Physician
- Raleigh, NC
- NPI 1053976415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1932185378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602195",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602195",
"telephone_number": "877-498-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 FORESTVILLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276168774",
"telephone_number": "919-235-6550"
}
],
"practiceLocations": [
{
"address_1": "3350 La Jolla Village Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921610002",
"country_code": "US",
"telephone_number": "858-552-8585 x3373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUPP",
"first_name": "HEATHER",
"middle_name": "RENEE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.