NPIMap

Organization Active NPI

Peak Nurition and Weight Loss Clinic PA

  • Metabolic Nutrition Registered Dietitian
  • Apex, NC
National Provider Identifier
1942410725
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
L001396 Issued in NC
Legal business name
PEAK NURITION AND WEIGHT LOSS CLINIC PA
Practice address
1011 Pemberton Hill Rd
Suite 101
Apex, NC 27502-4266
Phone
(919) 367-9355
Fax
(919) 367-9276
NPI assigned
May 23, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Samuel D. Blackwell, M.D.NPI 1770677635
Title
Owner
Phone
(919) 367-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X L001396 NC Primary
Family Medicine Physician 207Q00000X 32989 NC

Addresses

Primary practice location

1011 Pemberton Hill Rd
Suite 101
Apex, NC 27502-4266

Mailing address

1011 Pemberton Hill Rd
Suite 101
Apex, NC 27502-4266
Phone (919) 367-9355

National Provider Directory

National Provider Directory
Tax ID family
Peak Nurition and Weight Loss Clinic PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942410725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD",
            "address_2": "SUITE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "919-367-9355",
            "fax_number": "919-367-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PEMBERTON HILL RD",
            "address_2": "SUITE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024266",
            "telephone_number": "919-367-9355",
            "fax_number": "919-367-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK NURITION AND WEIGHT LOSS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-367-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NC",
            "license": "L001396",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.