MRS. SHERRIE FENNELL EDWARDS


Address: 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534
Phone: 9197220407

MRS. SHERRIE FENNELL EDWARDS (NPI# 1780895136) 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) 1780895136
Entity Type Individual
Full Name MRS. SHERRIE FENNELL EDWARDS
Credential RD.,LDN
Practice Address 1500 Lanely Ave.
Seymour Johnson Afb
Golsboro
NC 27534
Mailing Address 1804 Dogwood St
Goldsboro
NC 27534-2320
Practice Telephone 9197220407
Mailing Telephone 9197395081
Enumeration Date 2007-05-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
714599 NC Dietary & Nutritional Service Providers

Office Location

Street Address 1500 LANELY AVE.
SEYMOUR JOHNSON AFB
City GOLSBORO
State NC
Zip Code 27534

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NPI Name Taxonomy Address Enumeration
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1528490604 Eric Christian Bourgeois Physical Therapist 1101a Gracie Pl, Goldsboro, NC 27534 2013-07-31
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1891039236 Betty Webb Zimmerman Nurse Practitioner 204 Cox Blvd, Goldsboro, NC 27534 2012-11-26
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1558596536 Taylor Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 802 Taylor St, Goldsboro, NC 27534 2009-05-20
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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 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
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
1821577040 Sarah E Novelly Rush Dietitian, Registered 114 Charlois Blvd, Winston Salem, NC 27103-1522 2018-08-08
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Competitor

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City GOLSBORO
Zip Code 27534

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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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