Renew Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

RENEW NUTRITION LLC

Practice address

1102 Country Club Rd
Wilmington, NC 28403-2517

Phone

(919) 738-7520

Fax

(910) 795-0689

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Sarah E Duong, RDNPI 1902276520

Title

Owner

Phone

(910) 227-9662

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Edwards Duong

  • Registered Dietitian
  • Wilmington, NC
  • NPI 1902276520

  Dietitian, Registered

  NPD Authorized official
• Maria R. Haisley, RD, CD

  • Registered Dietitian
  • Elkhart, IN
  • NPI 1558681031

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1932886629",
    "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",
            "fax_number": "910-795-0689"
        },
        {
            "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",
            "fax_number": "910-795-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-227-9662",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Rendleman, LCSW
• Gloria L Rendon, LCAS-A
• Romina Rendon
• Renee Williamson LLC
• Martin Renemans, DMD
• Joseph Rengifo, LCMHC, LCAS, CSI
• Lindsay Rengifo, RN
• Renovia Behavioral Health LLC
• Jennifer K. Renshaw, OTD,OTRL
• Patrick Joseph Renton, MD

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.