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

Peak Nurition and Weight Loss Clinic PA

Organization Metabolic Nutrition Registered Dietitian · NPI 1942410725

Peak Nurition and Weight Loss Clinic PA is a Metabolic Nutrition Registered Dietitian in Apex, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1011 Pemberton Hill Rd Ste 101
Apex, NC 27502-4266
Phone: (919) 367-9355
Fax: (919) 367-9276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Metabolic Nutrition Registered Dietitian (primary) Taxonomy 133VN1006X · Licence L001396 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 32989 (NC)

Record details

NPI number1942410725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Blackwell — Owner · (919) 367-9355
NPI enumeratedMay 23, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266

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