MRS. MACON LOUISE CORNICK GUIDRY


Address: 23 Sunnybrook Rd, Raleigh, NC 27610-1855
Phone: 9192356439

MRS. MACON LOUISE CORNICK GUIDRY (NPI# 1861030371) 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) 1861030371
Entity Type Individual
Full Name MRS. MACON LOUISE CORNICK GUIDRY
Other Name MISS MACON LOUISE CORNICK
Credential RDN, LDN
Practice Address 23 Sunnybrook Rd
Raleigh
NC 27610-1855
Mailing Address 3325 Ridgecrest Ct
Raleigh
NC 27607-6763
Practice Telephone 9192356439
Mailing Telephone 9199065740
Enumeration Date 2019-12-16
Last Update Date 2019-12-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
104 Medspring Dr Ste 200, Clayton, NC 275209687 9192356439
120 Healthplex Way Ste 301, Apex, NC 275028403 9192356439

Office Location

Street Address 23 SUNNYBROOK RD
City RALEIGH
State NC
Zip Code 27610-1855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386648756 James A Scovil Legal Medicine 23 Sunnybrook Rd, Ste 109, Raleigh, NC 27610-1855 2005-06-13
1679129720 Amelia Willis Nurse Practitioner 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-08-14
1497307334 Wakemed Specialists Group LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-07-11
1336704766 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1265097695 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1245895697 Wakemed Specialists Group, LLC Counselor 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1982269346 Wakemed Specialists Group, LLC Surgery 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1962067314 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1659934511 Wake Specialty Physicians, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-04-17
1568958866 Allison Sharp Mcdougal Dietitian, Registered 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2018-07-10
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Providers in the same zip code

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
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
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
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154921997 Lauren Annelise Prigge Dietitian, Registered 3636 Castlegate Dr, Raleigh, NC 27616-9551 2020-10-30
1801493291 Fuel Nc Nutrition Dietitian, Registered 1107 Capital Blvd, Raleigh, NC 27603-1113 2020-10-08
1194331751 Cindy Kang Dietitian, Registered 4621 Fielding Dr, Raleigh, NC 27606-4564 2020-09-18
1164032272 Hannah Libera Dietitian, Registered 516 Phelps Ave, Raleigh, NC 27607-7260 2020-08-04
1265041693 Liza Iv Dietitian, Registered 5931 Waterford Bluff Ln Apt 1533, Raleigh, NC 27612-7832 2020-07-31
1386261592 Hannah Waspi Dietitian, Registered 110 Trinity Woods Dr, Raleigh, NC 27607-4948 2020-07-03
1760008098 Julianne Tobin Dietitian, Registered 2260 Housecreek Trl Apt 105, Raleigh, NC 27607-3488 2020-06-23
1164044806 Nancy Catherine Dyer Dietitian, Registered 4128 The Oaks Dr, Raleigh, NC 27606-3435 2020-05-16
1679102966 Water and The Well Dietitian, Registered 3950 Fairsted Dr Apt 264, Raleigh, NC 27612-4545 2020-04-07
1326673922 Janette Russell Lowe Dietitian, Registered 3916 Haithcock Road, Raleigh, NC 27604-4126 2020-03-04
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Competitor

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City RALEIGH
Zip Code 27610

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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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