MS. SHERI DEFREES ALLEN (NPI# 1114211158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114211158 |
| Entity Type | Individual |
| Full Name | MS. SHERI DEFREES ALLEN |
| Credential | RD, RDN, LDN |
| Practice Address |
4200 Lake Boone Trl Raleigh NC 27607-6521 |
| Mailing Address |
211 Friday Center Dr Suite 2091, Room 2094 Hedrick Building Chapel Hill NC 27517-9499 |
| Practice Telephone | 9197841371 |
| Practice Fax Number | 9197841397 |
| Mailing Telephone | 9849741191 |
| Mailing Fax Number | 9849741311 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
L003540 | NC | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | L003540 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | Q50654A | 01 |
| NC | MEDICARE PTAN | Q50654E853 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669855318 | Sheri Allen | Marriage & Family Therapist | 862 S Main St Ste 4, Brigham City, UT 84302-3389 | 2015-06-30 |
| 1447306949 | Sheri Ann Allen | Physical Therapy Assistant | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2007-01-26 |
| Street Address |
4200 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134318843 | Ashley Miles Honeycutt | Nutritionist | 4200 Lake Boone Trl, Raleigh, NC 27607-6521 | 2007-10-18 |
| 1215386685 | Margaret Mangan | Dietitian, Registered | 4200 Lake Boone Trl, Rex Nutrition Services Wellness Center, Raleigh, NC 27607-6521 | 2016-06-07 |
| 1932558509 | Kathryn Rudisill Prafka | Nutritionist | 4200 Lake Boone Trl, Rex Nutrition Services, Raleigh, NC 27607 | 2016-06-06 |
| 1821472572 | Rex Hospital, Inc. | Nutritionist | 4200 Lake Boone Trl, Raleigh, NC 27607-6521 | 2015-07-13 |
| 1245535475 | Beth Anne King | Nurse Practitioner | 4200 Lake Boone Trl, Raleigh, NC 27607-6521 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in RALEIGH | ||||
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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.