CAROL MARY MEDINS (NPI# 1639646367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639646367 |
| Entity Type | Individual |
| Full Name | CAROL MARY MEDINS |
| Other Name | CAROL MARY JENKINS |
| Credential | MPH, RD, LDN, CNSC |
| Practice Address |
Wakemed Raleigh Medical Park 23 Sunnybrook Road, Suite 200 Raleigh NC 27610 |
| Mailing Address |
400 Scotts Ridge Trl Apex NC 27502-6584 |
| Practice Telephone | 9192356435 |
| Mailing Telephone | 9193023648 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
L002778 | NC | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Healthplex Way, Apex, NC 275028403 | 9193508000 |
| Street Address |
WAKEMED RALEIGH MEDICAL PARK 23 SUNNYBROOK ROAD, SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| 1912305137 | Barnes Home | Psychiatric Residential Treatment Facility | 1400 Altama Circle, Raleigh, NC 27610 | 2014-12-22 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555160 | Angela Rutherford | Dietitian, Registered | 10207 Cerny St Ste 110, Raleigh, NC 27617-4880 | 2019-02-22 |
| 1922496173 | Shelley Bolt Wilkins | Dietitian, Registered | 23 Sunnybrook Rd Ste 200, Raleigh, NC 27610-1855 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184027872 | Jennifer Fowler | Dietitian, Registered | 121 Arbor Dr, Washington, NC 27889-8720 | 2014-10-08 |
| 1144638495 | Shannon Ingalls Holton | Dietitian, Registered | 2403 Kay Rd, Greenville, NC 27858-9541 | 2014-07-31 |
| 1487995486 | Lisa Mire | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2013-03-15 |
| 1568768620 | Lisa D Wright | Dietitian, Registered | 649 46th Avenue Dr Ne, Hickory, NC 28601-7318 | 2011-02-07 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1336190628 | Barbara Andresen | Dietitian, Registered | 3447 Robinhood Rd, Suite 209, Winston Salem, NC 27106-4791 | 2006-05-12 |
| 1548887177 | Sarah Gregory | Dietitian, Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-06-30 |
| 1023655677 | Holly Hirsch | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2019-12-03 |
| 1730611815 | Katherine Rooney | Dietitian, Registered | 4555 Ogburn Ave, Winston Salem, NC 27105-2726 | 2017-03-29 |
| 1437603743 | Melissa Johnson Moses | Dietitian, Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-08-04 |
| Find all providers with the same taxonomy | ||||
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| 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.