Lorissa Alyce Tart, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005890 Issued in NC

Practice address

423 Averasboro Dr
Clayton, NC 27520-2694

Phone

(919) 285-6791

NPI assigned

May 20, 2022

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

Other names 1

• Lorissa Alyce Williams Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Elevate Nutrition & Fitness LLC

  • Registered Dietitian
  • Clayton, NC
  • NPI 1558160747

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1932847928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 AVERASBORO DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 AVERASBORO DR",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275202694",
            "telephone_number": "919-285-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TART",
        "first_name": "LORISSA",
        "middle_name": "ALYCE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://lorissa-tart.clientsecure.me/",
            "affiliation": "N",
            "address_1": "423 Averasboro Dr",
            "city": "Clayton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275202694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LORISSA",
            "last_name": "WILLIAMS",
            "middle_name": "ALYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Kojo Tamakloe
• Elizabeth Tancreti
• Thomas Matthew Tandarich
• Tanya Rajdev, DDS, PLLC
• Crystal Devine Tarkington, MA, CCC-SLP
• Mattlyn Lauren Tart, PHARMD, CPP
• Lashaunta McLamb Tatum, NP
• Jeffrey Nathan Taylor, PA-C
• Jennifer Susanne Taylor, PA-C
• Jouel Taylor

• Registered Dietitian in Clayton, NC
• Providers in Clayton, 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 Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.