MRS. SHELLEY BOLT WILKINS (NPI# 1922496173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922496173 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY BOLT WILKINS |
| Credential | RD |
| Practice Address |
23 Sunnybrook Rd Ste 200 Raleigh NC 27610-1855 |
| Practice Telephone | 9192346435 |
| Practice Fax Number | 9192310314 |
| Mailing Telephone | 9192346435 |
| Mailing Fax Number | 9192310314 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
L002674 | NC | Dietary & Nutritional Service Providers |
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
962233 | NC | Dietary & Nutritional Service Providers |
| Street Address |
23 SUNNYBROOK RD STE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467515247 | Michelle Schweitzer | Internal Medicine | 23 Sunnybrook Rd Ste 200, Raleigh, NC 27610-1855 | 2006-12-19 |
| 1598309031 | Nicola Zollinger | Counselor | 23 Sunnybrook Rd Ste 200, Raleigh, NC 27610-1855 | 2019-10-28 |
| 1407119266 | Matthew Bruehl | Pediatrics | 23 Sunnybrook Rd Ste 200, Raleigh, NC 27610 | 2012-06-18 |
| 1942591383 | Gabriel Bryan Winberry | Pediatrics | 23 Sunnybrook Rd Ste 200, Raleigh, NC 27610-1855 | 2011-04-19 |
| 1063729614 | Leigh Chancey | Psychologist | 23 Sunnybrook Rd Ste 200, Raleigh, NC 27610-1855 | 2010-09-02 |
| 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 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555160 | Angela Rutherford | Dietitian, Registered | 10207 Cerny St Ste 110, Raleigh, NC 27617-4880 | 2019-02-22 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184027872 | Jennifer Fowler | Dietitian, Registered | 121 Arbor Dr, Washington, NC 27889-8720 | 2014-10-08 |
| 1144638495 | Shannon Ingalls Holton | Dietitian, Registered | 2403 Kay Rd, Greenville, NC 27858-9541 | 2014-07-31 |
| 1487995486 | Lisa Mire | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2013-03-15 |
| 1568768620 | Lisa D Wright | Dietitian, Registered | 649 46th Avenue Dr Ne, Hickory, NC 28601-7318 | 2011-02-07 |
| 1972670388 | Tanya Daniella Melton | Dietitian, Registered | 988 Red Stone Ct, Rougemont, NC 27572-9407 | 2006-11-29 |
| 1336190628 | Barbara Andresen | Dietitian, Registered | 3447 Robinhood Rd, Suite 209, Winston Salem, NC 27106-4791 | 2006-05-12 |
| 1548887177 | Sarah Gregory | Dietitian, Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-06-30 |
| 1023655677 | Holly Hirsch | Dietitian, Registered | 1001 Blythe Blvd Ste 601, Charlotte, NC 28203-6107 | 2019-12-03 |
| 1730611815 | Katherine Rooney | Dietitian, Registered | 4555 Ogburn Ave, Winston Salem, NC 27105-2726 | 2017-03-29 |
| 1437603743 | Melissa Johnson Moses | Dietitian, Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-08-04 |
| Find all providers with the same taxonomy | ||||
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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.