MRS. LACRYSTAL STRONG MATLOCK


Address: 2300 Ramsey St, Fayetteville, NC 28301-3856
Phone: 9104882120

MRS. LACRYSTAL STRONG MATLOCK (NPI# 1598120628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598120628
Entity Type Individual
Full Name MRS. LACRYSTAL STRONG MATLOCK
Credential MS, RD, LDN
Practice Address 2300 Ramsey St
Fayetteville
NC 28301-3856
Practice Telephone 9104882120
Mailing Telephone 9104882120
Enumeration Date 2015-12-16
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered L003728 NC Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7300 S Raeford Rd, Fayetteville, NC 283046162 9104756679

Office Location

Street Address 2300 RAMSEY ST
City FAYETTEVILLE
State NC
Zip Code 28301-3856

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619971587 Nwaobiara Obi-gwacham Internal Medicine 2300 Ramsey St, Fayetteville, NC 28301-3856 2005-06-09
1669072492 Linda Xiong Pharmacist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-10-30
1861092082 Teresa Wells Pharmacist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-10-27
1528666781 Amina Chaudhry Recreation Therapist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-10-11
1356957526 Ashley R Parker Recreation Therapist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-09-22
1295341014 Andrea Bell Jones Recreation Therapist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-09-17
1770199614 Tara Anne Bright Recreation Therapist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-09-16
1578177465 Shani Marcay Hamilton Respiratory Therapist, Registered 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-09-08
1356969562 Makenzie Lea Benton Pharmacist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-07-14
1942826490 Jenna Sedberry Dentist 2300 Ramsey St, Fayetteville, NC 28301-3856 2020-06-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134726219 Jenna Michelle Odneal Behavior Technician 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 2020-10-02
1790390094 Jessica Shellman Counselor 408 Person St. Ste 103, Fayetteville, NC 28301 2020-09-14
1487205951 Martha K Richardson Technician 720 Teachers Dr, Fayetteville, NC 28301 2019-09-25
1013568161 Angela Rena Locklear Counselor 211 Lamon St, Fayeteville, NC 28301 2019-09-20
1619535747 Teresa Wilson Contractor 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 2019-06-04
1912461815 Catherine Stevenson Nwogalanya Community Health Worker 1103 Hillsboro St., Fayetteville, NC 28301 2019-01-24
1811443187 Michael Carroll Counselor 308 Peterson Place, Fayetteville, NC 28301 2016-08-28
1023499886 Latifa Fedai Nurse Practitioner 380 Person Street, Fayettevill, NC 28301 2015-06-17
1265868939 Aci Support Specialists Community/Behavioral Health 1725 Venna Drive, Fayetteville, NC 28301 2013-09-25
1871929547 Aci Support Specialists Day Training, Developmentally Disabled Services 2820 Copenhagen Drive, Fayetteville, NC 28301 2013-09-25
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099238 Emily Keeling Dietitian, Registered 1238 N Vista Pl, Fayetteville, AR 72703-1352 2020-09-28
1114544723 Katherine Johanna Martin Dietitian, Registered 449 Tartan Ct, Fayetteville, NC 28311-1694 2020-06-30
1447872486 Lindsay Spivey Petty Dietitian, Registered 190 Cedar Creek Ct, Fayetteville, GA 30215-2799 2020-05-13
1366003980 Laura Hill Dietitian, Registered 3215 N Northhills Blvd Ste 3, Fayetteville, AR 72703-4424 2019-06-25
1073082053 Natalie Bules Dietitian, Registered 688 E Millsap Rd Ste 100, Fayetteville, AR 72703-3930 2018-11-19
1801370051 Truly Nourished, LLC Dietitian, Registered 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 2018-09-23
1326542317 Jennifer Joyner Dietitian, Registered 424 Mcarthur Rd, Fayetteville, NC 28311-6924 2018-03-22
1114428984 Paul Thomas Brown Dietitian, Registered 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701-1586 2018-02-26
1356799183 Nutrition Consultants, Inc. Dietitian, Registered 6866 Towbridge Rd, Fayetteville, NC 28306-2534 2016-06-02
1619359346 Sabrina Teresa Hesford Dietitian, Registered 408 Warren St, Fayetteville, NY 13066-2138 2015-06-18
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Competitor

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City FAYETTEVILLE
Zip Code 28301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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