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

Individual provider Registered Dietitian · NPI 1780312173

Dominique Stamps, RDN is a Registered Dietitian OR Nutrition Professional in Knightdale, North Carolina. Qualified in 2022, 4 years ago. Practices with Avance Care PA, a 244-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

210 Hinton Oaks Blvd Ste E
Knightdale, NC 27545-6564
Phone: (919) 679-3177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1964 S Main St, Wake Forest, NC 27587-9336 — (919) 554-0177

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L006962 (NC)

Record details

NPI number1780312173
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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