Kenrese Theresa Carter, MS,CNS, LDN
NPI 1003423625ActiveIndividual· Nutritionist· Lexington Park, MD
Nutritionist (MS,CNS, LDN) in Lexington Park, Maryland, licensed in MD, FL and IL, with an NPI issued in September 2020.
Overview
| NPI | 1003423625 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS,CNS, LDN |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2020 |
| Last updated in NPPES | Jun 15, 2025 |
| Certified by provider | Jun 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | DX5094 | MD |
| Nutritionist | 133N00000X | ND14157 | FL |
| Nutritionist | 133N00000X | 164012155 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|