Active NPI
Cheyanne Bierly
- Registered Dietitian
- Cedar Point, NC
National Provider Identifier
1962271643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007690
- Practice address
- 1117 Cedar Point Blvd
Cedar Point, NC 28584-8023 - Phone
- (252) 808-5623
- NPI assigned
- Dec 22, 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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-312991 | NC | |
| Registered Dietitian | 133V00000X | L007690 | NC | Primary |
Addresses
Primary practice location
1117 Cedar Point Blvd
Cedar Point, NC 28584-8023
Mailing address
424 Pelletier Loop Rd
Swansboro, NC 28584-7473
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L007690 | NC | MD | Registered Dietitian |
| L-312991 | NC | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Coast Wellness and Performance Center | 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.
-
- Registered Dietitian
- Morehead City, NC
- NPI 1679104293
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1962271643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 PELLETIER LOOP RD",
"city": "SWANSBORO",
"state": "NC",
"postal_code": "285847473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 CEDAR POINT BLVD",
"city": "CEDAR POINT",
"state": "NC",
"postal_code": "285848023",
"telephone_number": "252-808-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERLY",
"first_name": "CHEYANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-22",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NC",
"license": "L-312991",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.