Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Carolina State University

Organization Registered Dietitian · NPI 1104304286

North Carolina State University is a Registered Dietitian in Raleigh, North Carolina. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002
Phone: (919) 515-7665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1104304286
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Carolina State University
Authorized official Carolyn Dunn — Professor Emerita · (919) 605-6169
Other names Ncsu Eat Smart, Move More, Weigh Less; Ncsu Eat Smart, Move More, Weigh Less
NPI enumeratedAugust 1, 2018
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing addressNorth Carolina State University Ofa Campus Box 7201, Raleigh, NC 27695-7201

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