Active NPI
Ashton Jackson, RDN
- Registered Dietitian
- Durham, NC
National Provider Identifier
1942695200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004579
- Practice address
- 5324 McFarland Rd
Suite 150
Durham, NC 27707-6865 - Phone
- (919) 354-7077
- Fax
- (919) 354-7075
- NPI assigned
- Apr 3, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004579 | NC | Primary |
Addresses
Primary practice location
5324 McFarland Rd
Suite 150
Durham, NC 27707-6865
Mailing address
5324 McFarland Rd
Suite 150
Durham, NC 27707-6865
Phone (919) 354-7077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004579 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Hunter Rd, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1942695200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5324 MCFARLAND RD",
"address_2": "SUITE 150",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076865",
"telephone_number": "919-354-7077",
"fax_number": "919-354-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5324 MCFARLAND RD",
"address_2": "SUITE 150",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076865",
"telephone_number": "919-354-7077",
"fax_number": "919-354-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ASHTON",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.