LAURA E. MATARESE


Address: 521 Moye Blvd, Ecu Physicians Gastroenterology, Moye Medical Center #1, Greenville, NC 27834-2849
Phone: 2527441400

LAURA E. MATARESE (NPI# 1750665493) 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) 1750665493
Entity Type Individual
Full Name LAURA E. MATARESE
Credential PHD, RD, LDN
Practice Address 521 Moye Blvd
Ecu Physicians Gastroenterology, Moye Medical Center #1
Greenville
NC 27834-2849
Mailing Address Po Box 751069
Ecu Physicians Gastroenterology
Charlotte
NC 28275-1069
Practice Telephone 2527441400
Practice Fax Number 2527442899
Enumeration Date 2011-09-29
Last Update Date 2012-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
L003852 NC Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBSNC 1676J 01

Office Location

Street Address 521 MOYE BLVD
ECU PHYSICIANS GASTROENTEROLOGY, MOYE MEDICAL CENTER #1
City GREENVILLE
State NC
Zip Code 27834-2849

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912901653 Robert A. Shaw Internal Medicine 521 Moye Blvd, Ecu Physicians Pulmonary and Critical Care, Greenville, NC 27834-2849 2005-06-10
1952838021 Samantha Michele Thomas Nadler Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2017-05-19
1407383649 Sara Cowles Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2017-05-18
1073040218 Thomas Francis Blair Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2017-05-18
1528410255 Rajarajan Panneerselvan Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2016-07-06
1306294004 Michael Blaj Student in an Organized Health Care Education/Training Program 521 Moye Blvd, Greenville, NC 27834 2016-06-03
1831553346 Steven Allen Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2016-04-11
1164801098 Jackie Smalls Internal Medicine 521 Moye Blvd, Greenville, NC 27834 2015-05-26
1912386830 Puneet Pal Singh Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2015-05-26
1063891901 Deebah Ashraf Uddin Internal Medicine 521 Moye Blvd, Greenville, NC 27834-2849 2015-05-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063683456 Stacie Markel Dietitian, Registered 505 Greenville Blvd Se, Greenville, NC 27858-6736 2008-03-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649662982 Thomas Rodgers Jr. Dietitian, Registered 4105 Lawndale Pl, Greensboro, NC 27455-1637 2015-02-24
1306243399 Natalie Dickinson Dietitian, Registered 225 Haw Creek Mews Dr, Asheville, NC 28805-1966 2014-11-19
1124303722 Halifax County Health Department Dietitian, Registered 19 North Dobbs St., Halifax, NC 27839-0010 2011-10-14
1386932739 Doris Fiorillo Wicks Dietitian, Registered 19220 Makayla Ln, Cornelius, NC 28031-6527 2011-07-19
1568626109 Jane E. Stegner Dietitian, Registered 2393 Jefferson Ave, Winston Salem, NC 27103-4315 2008-07-14
1801079298 Michelle Lila Blitstein Dietitian, Registered 4812 Carmel Park Dr, Charlotte, NC 28226-5131 2007-12-09
1780895136 Sherrie Fennell Edwards Dietitian, Registered 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 2007-05-25
1053339952 Nalini Narahari Dietitian, Registered 202 Bradwyck Dr, Cary, NC 27513-9414 2006-07-18
1043278195 Integrative Therapies, Inc. Dietitian, Registered 7 E Oak Branch Dr, Greensboro, NC 27407 2006-05-01
1295386001 Be Nutrition LLC Dietitian, Registered 4651 Charlotte Park Dr Ste 101c, Charlotte, NC 28217-1916 2019-09-23
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Competitor

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City GREENVILLE
Zip Code 27834

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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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