DURHAM LIFESTYLE MANAGEMENT LLC (NPI# 1871973396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871973396 |
| Entity Type | Organization |
| Organization Name | DURHAM LIFESTYLE MANAGEMENT LLC |
| Practice Address |
5324 Mcfarland Rd Ste 150 Durham NC 27707-6865 |
| Practice Telephone | 9193547077 |
| Practice Fax Number | 9193547075 |
| Mailing Telephone | 9193547077 |
| Mailing Fax Number | 9193547075 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | ERIC HENDERSON (PRESIDENT) |
| Authorized Official Telephone | 9192608423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
5324 MCFARLAND RD STE 150 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174562102 | Diana Borton Mcshane | Dermatology | 5324 Mcfarland Rd, Suite 410, Durham, NC 27707-6865 | 2006-06-05 |
| 1316392764 | Amanda Birkhead | Dietitian, Registered | 5324 Mcfarland Rd, Ste 150, Durham, NC 27707-6865 | 2016-05-03 |
| 1679927255 | Gregory Schiltz | Dietitian, Registered | 5324 Mcfarland Rd, Durham, NC 27707-6865 | 2016-04-20 |
| 1942695200 | Ashton Jackson | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2015-04-03 |
| 1811385875 | Sarah Ray Healy | Dietitian, Registered | 5324 Mcfarland Rd, #150, Durham, NC 27707-6865 | 2014-12-29 |
| 1568887487 | Jessica R Iselin | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2014-02-28 |
| 1134540768 | Deborah Franciscy | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2013-12-27 |
| 1831520188 | Tyrone Hall | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2013-12-11 |
| 1548691975 | Ashley Karshen | Dietitian, Registered | 5324 Mcfarland Rd, Durham, NC 27707-6865 | 2013-12-11 |
| 1669809984 | Kali Williams | Dietitian, Registered | 5324 Mcfarland Rd, Suite 150, Durham, NC 27707-6865 | 2013-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1699382010 | Catherine Suzanne Rudolph | Dietitian, Registered | 845 Ivy Meadow Ln Apt 3b, Durham, NC 27707-5905 | 2020-09-29 |
| 1477171601 | Julie Stoops | Dietitian, Registered | 40 Duke Medicine Cir Bsmt Level015, Durham, NC 27710-4000 | 2020-07-14 |
| 1437775756 | Ann Margaret Shelton | Dietitian, Registered | 40 Medicine Circle Drive 2j Clinic, Durham, NC 27710-0001 | 2020-06-23 |
| 1467077826 | Ella Lundquist | Dietitian, Registered | Dumc 3655, Durham, NC 27710-0001 | 2020-06-11 |
| 1528683174 | Laura Elizabeth Niederer | Dietitian, Registered | 40 Duke Medicine Cir # 2j, Durham, NC 27710-4000 | 2020-06-10 |
| 1144845967 | Charlotte Walker | Dietitian, Registered | 35 Cedar Point Rd, Durham, NH 03824-3306 | 2020-06-09 |
| 1851927917 | Asta Feng | Dietitian, Registered | 130 Lochridge Dr, Durham, NC 27713-9139 | 2020-03-20 |
| 1649819707 | Cherie Nichol Barnes | Dietitian, Registered | 3508 Golden Heather Dr, Durham, NC 27712-3148 | 2020-01-06 |
| 1265081400 | Logan Pace | Dietitian, Registered | 1415 Broad St, Durham, NC 27705-3534 | 2019-09-10 |
| 1780239400 | Elizabeth Barnes | Dietitian, Registered | 6015 Fayetteville Rd Ste 116, Durham, NC 27713-6254 | 2019-08-08 |
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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.