MRS. STEPHANIE WILLIAMS MCCULLUM REGISTERED DIETITIAN
NPI 1093519126
Dietitian, Registered in Durham, NC

Active since April 01, 2025
208 COLLEGIATE CIR, DURHAM, NC 27713(919) 949-6624 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered

About STEPHANIE MCCULLUM

This page provides the complete NPI Profile along with additional information for Stephanie Mccullum, a provider established in Durham, North Carolina with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1093519126 assigned on April 2025. The practitioner's primary taxonomy code is 133V00000X with license number L001707 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1093519126 Verify this NPI
Provider Name
MRS. STEPHANIE WILLIAMS MCCULLUM REGISTERED DIETITIAN
Gender
Female
Entity Type
Individual
Location Address
208 COLLEGIATE CIR DURHAM, NC 27713
Location Phone
(919) 949-6624
Mailing Address
208 COLLEGIATE CIR DURHAM, NC 27713
Mailing Phone
(919) 949-6624
Is Sole Proprietor?
Yes
Enumeration Date
04-01-2025
Last Update Date
04-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
L001707
License State
NC
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093519126, enumerated as an "individual" on April 01, 2025.

The provider is located at 208 COLLEGIATE CIR DURHAM, NC 27713 and the phone number is (919) 949-6624.

Dietitian, Registered with taxonomy code 133V00000X.