PRESTON WAYNE STEPHENSON (NPI# 1710445796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710445796 |
| Entity Type | Individual |
| Full Name | PRESTON WAYNE STEPHENSON |
| Credential | RDN, LDN |
| Practice Address |
500 Pineview Dr Ste 205 Kernersville NC 27284-3814 |
| Mailing Address |
Po Box 604050 Charlotte NC 28260-4050 |
| Practice Telephone | 3363293295 |
| Practice Fax Number | 3363555204 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LOO5646 | NC | Dietary & Nutritional Service Providers |
| Street Address |
500 PINEVIEW DR STE 205 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417262023 | Crystal M King | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2010-08-09 |
| 1174120745 | Pa Xiong | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-10-06 |
| 1548877814 | Whitney Ann Self | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-30 |
| 1851907166 | Grace Ellen Ligon | Social Worker | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-22 |
| 1689288847 | Jeanne A Doherty | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-04 |
| 1538773031 | Kristen Byrne | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-02 |
| 1174140776 | Samantha Elizabeth Smith | Nurse Practitioner | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-06-30 |
| 1174148266 | Morgan Perry | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-06-15 |
| 1487276499 | Nh-cl Clinics, LLC | Family Medicine | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-05-13 |
| 1932721198 | Caralee Amber Mason | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629429089 | Samantha G Spain | Dietitian, Registered | 1710 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7156 | 2016-06-28 |
| 1003089830 | Mary Ellen Tuitt | Dietitian, Registered | 1710 Kernersville Medical Parkway, Suite 210, Kernersville, NC 27284-7157 | 2008-04-13 |
| 1548877814 | Whitney Ann Self | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-30 |
| 1689288847 | Jeanne A Doherty | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-04 |
| 1538773031 | Kristen Byrne | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-02 |
| 1174148266 | Morgan Perry | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-06-15 |
| 1932721198 | Caralee Amber Mason | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-05-11 |
| 1346869617 | Tiffany Wu | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-04-15 |
| 1316574759 | Paige M Macauley | Dietitian, Registered | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-03-25 |
| 1659885333 | Alyssa Janel Zurbano Marrero | Dietitian, Registered | 1710 Kernersville Medical Pkwy Ste 210, Kernersville, NC 27284-7157 | 2017-11-17 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.