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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
L003852 | NC | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBSNC | 1676J | 01 |
Street Address |
521 MOYE BLVD ECU PHYSICIANS GASTROENTEROLOGY, MOYE MEDICAL CENTER #1 |
City | GREENVILLE |
State | NC |
Zip Code | 27834-2849 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 27834 |
Taxonomy Code | 133VN1006X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Metabolic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063683456 | Stacie Markel | Dietitian, Registered | 505 Greenville Blvd Se, Greenville, NC 27858-6736 | 2008-03-13 |
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 |
Find all providers with the same taxonomy |
City | GREENVILLE |
Zip Code | 27834 |
Please comment or provide details below to improve the information on LAURA E. MATARESE.
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.