OrganizationActive
North Carolina State University
NPI 1104304286 · Registered Dietitian · Raleigh, NC
Provider details
- NPI number
- 1104304286
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Parent organization
- North Carolina State University
- Organization subpart
- Yes
- Authorized official
- Carolyn Dunn, Professor Emerita(919) 605-6169
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4101 Beryl Rd Ste 230
Raleigh, NC 27606-1002
Phone: (919) 515-7665
Street-level locationGet directions
Mailing address
North Carolina State University Ofa Campus Box 7201
Raleigh, NC 27695-7201
Other names (DBA / former)
- Other name
- Ncsu Eat Smart, Move More, Weigh Less
- Other name
- Ncsu Eat Smart, Move More, Weigh Less
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.