Teisha Lightbourne Douglass, MPH, RD, CNSC, IBCLC
NPI 1699154310ActiveIndividual· Dietitian, Registered· Durham, NC
Dietitian, Registered (MPH, RD, CNSC, IBCLC) in Durham, North Carolina, licensed in NC, with an NPI issued in May 2015. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1699154310 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPH, RD, CNSC, IBCLC |
| Sole proprietor | Yes |
| NPI issued | May 27, 2015 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | L005095 | NC |
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) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NC) |
|---|
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All 275 registered dietitians in Durham · All registered dietitians in North Carolina