BEVERLY GORE (NPI# 1497046601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497046601 |
| Entity Type | Individual |
| Full Name | BEVERLY GORE |
| Credential | RD, LDN |
| Practice Address |
307 W Cornelius Harnett Blvd Lillington NC 27546-9335 |
| Practice Telephone | 9108146240 |
| Practice Fax Number | 9108939429 |
| Mailing Telephone | 9108146240 |
| Mailing Fax Number | 9108939429 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers | ||
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 07212 | 01 |
| NC | TRICARE | 155383938 | 01 |
| NC | CLIA | 34D0864770 | 01 |
| NC | MEDCOST | 183296 | 01 |
| NC | NC3404343 | 05 |
| Street Address |
307 W CORNELIUS HARNETT BLVD |
| City | LILLINGTON |
| State | NC |
| Zip Code | 27546-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215048459 | County of Harnett | Dietitian, Registered | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2006-08-31 |
| 1689175564 | Melissa Beth Turner | Physician Assistant | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2018-02-26 |
| 1528507266 | Rebecca Diane Unger | Physician Assistant | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2017-02-14 |
| 1922421155 | Allison Beam | Physician Assistant | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2014-01-23 |
| 1942585344 | County of Harnett | Dietitian, Registered | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2011-10-17 |
| 1912049966 | Melissa J Mclamb | Nurse Practitioner | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2007-02-13 |
| 1578603254 | Deborah Jackson Warren | Nurse Practitioner | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2007-02-08 |
| 1114003449 | Sheley Butler Eldridge | Nurse Practitioner | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859560 | Alvin Yan | Student in an Organized Health Care Education/Training Program | 4350 Us-421, Lillington, NC 27546 | 2020-04-16 |
| 1982231056 | Nilesh Karam Vir Virmani | Student in an Organized Health Care Education/Training Program | 215 Bridgewater Drive, Lillington, NC 27546 | 2020-03-26 |
| 1902469745 | Katrina Lynn Lamont | Student in an Organized Health Care Education/Training Program | 216 Brightwater Drive, Lillington, NC 27546 | 2019-04-17 |
| 1548664550 | Realo Discount Drug Stores of Eastern North Carolina Inc | Pharmacy | 41 Bain St, Lillington, NC 27546 | 2014-10-20 |
| 1023420973 | Kidzcare Pediatrics, PC | Pediatrics | 1406 South Main Street, Lillington, NC 27546 | 2014-05-27 |
| 1316288350 | Harnett Emergency Physicians, Pllc | Emergency Medicine | 215 Brightwater Drive, Lillington, NC 27546 | 2013-03-14 |
| 1497008296 | Harnett Area Rural Transit System | Non-emergency Medical Transport (VAN) | 250 Alexander Drive, Lillington, NC 27546 | 2012-10-18 |
| 1063793115 | Silnettra Yvette Barnhill | Occupational Therapist | 44 Muscadine Ct, Lillington, NC 27546 | 2011-09-02 |
| 1356650816 | Allison Leslie Stephenson | Pharmacist | 813 Main St., Lillington, NC 27546 | 2010-10-01 |
| 1417266057 | Shannon Renee Lebakken | Pharmacist | 803 North Main Street, Lillington, NC 27546 | 2010-09-30 |
| Find all providers in zip 27546 | ||||
| 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 |
|---|---|---|---|---|
| 1427569607 | Holly Ann Pflugfelder | Dietitian, Registered | 6635 Mcdougald Rd, Lillington, NC 27546-9208 | 2017-10-16 |
| 1861614786 | Johnnie Lamm Jackson | Dietitian, Registered | 1785 Keith Hills Road, Lillington, NC 27546 | 2007-05-02 |
| 1215048459 | County of Harnett | Dietitian, Registered | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2006-08-31 |
| 1942585344 | County of Harnett | Dietitian, Registered | 307 W Cornelius Harnett Blvd, Lillington, NC 27546-9335 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184947 | Freely Fed | Dietitian, Registered | 1532 Wickerby Ct, Matthews, NC 28105-0322 | 2020-11-04 |
| 1023618774 | Shannon Vasilinda | Dietitian, Registered | 450 Lake Royale, Louisburg, NC 27549-9565 | 2020-10-30 |
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1659971406 | Lauren Rubio-serrano | Dietitian, Registered | 21 Mount Vernon Cir, Asheville, NC 28804-2439 | 2020-10-30 |
| 1336749407 | Doretta Wright | Dietitian, Registered | 110 Highgrove Ct, Aberdeen, NC 28315-2149 | 2020-10-28 |
| 1003414756 | Christy Nell Quirk | Dietitian, Registered | 117 Oldham Pl, Chapel Hill, NC 27516-9004 | 2020-10-14 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1033716436 | Katherine Openshaw | Dietitian, Registered | 521 Walnut Creek Dr, Goldsboro, NC 27534-8997 | 2020-10-08 |
| 1184221665 | Jennifer M Ritchie | Dietitian, Registered | 4306 Kimmeridge Rd, Greensboro, NC 27406-9303 | 2020-10-07 |
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | LILLINGTON |
| Zip Code | 27546 |
Please comment or provide details below to improve the information on BEVERLY GORE.
| 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.