North Carolina State University
NPI 1104304286ActiveOrganization· Dietitian, Registered· Raleigh, NC
Dietitian, Registered in Raleigh, North Carolina, registered in NPPES in August 2018, part of North Carolina State University. The authorized official on file is Charles A. Maimone, Evc.
Overview
| NPI | 1104304286 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | North Carolina State University |
| NPI issued | Aug 1, 2018 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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