Healthy Diets, LLC
Organization Active NPI Registered Dietitian · Durham, NC
NPI 1992903587 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1992903587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- L000600 (NC)
- Legal business name
- HEALTHY DIETS, LLC
- Practice address
- 3612 Shannon Rd Ste 103
Durham, NC 27707-6333 - Phone
- (919) 870-1001
- Fax
- (919) 516-0673
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Neal Tebb, MS, RDN
- Title
- Co-Owner
- Phone
- (919) 870-1001
Practitioners 11
-
Jennifer Neal Tebb, RDN, LDN
-
Meghan Elaine Brown, MHS, RD, LDN
-
Carley Lester, RD
-
Allison Nicole Scaramuzzo, MS, RDN
-
Chelsea C Taylor Long, RD, LDN
-
Megan Carlin, MPH, RD, LDN
-
Mary Gray Hixson, MPH, RD, LDN
-
Jennifer Lauren Hunt, RD, LDN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070712000443 | NC | Part B Supplier - Clinic/Group Practice | 5395845846 |
Receives reassigned benefits from 1 practitioner Practice locations: Durham, NC |
National Provider Directory
Locations
209 Salem Towne Ct
Apex, NC 27502
Phone (919) 870-1001
1415 Broad St
Durham, NC 27705
Phone (919) 205-3843
3612 Shannon Rd
Ste 103
Durham, NC 27707
Phone (919) 870-1001
8300 Health Park
Ste 325
Raleigh, NC 27615
Phone (919) 870-1001
8506 Six Forks Rd
Ste 104
Raleigh, NC 27615
Phone (919) 234-7247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | L000600 | NC | Yes |
Addresses
Primary practice location
3612 Shannon Rd Ste 103
Durham, NC 27707-6333
Mailing address
3612 Shannon Rd Ste 103
Durham, NC 27707-6333
Phone (919) 870-1001
Other names
- Healthy Diets, Inc.
- Pace & Tebb Nutrition Counseling
Other providers in Durham, NC
- Healthcore Resource Inc
- Healthcore Resource Inc
- Healthstat Onsite Clinic- Durham County
- Healthtique Durham, LLC
- Healthy Care Horizons LLC
- Healthy Hair by Jennifer
- John Carmichael Healy
- Zachary Ryan Healy
- Hearing Health at Home, LLC
- Hearing Health Care Services, PLLC
All providers in Durham, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.