BRAEDYN WESLEY MALLARD RDN, LDN
NPI 1245845122
Dietitian, Registered in Cary, NC
- Individual
- Male
- Dietitian, Registered
About BRAEDYN MALLARD
This page provides the complete NPI Profile along with additional information for Braedyn Mallard, a provider established in Cary, North Carolina with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1245845122 assigned on September 2020. The practitioner's primary taxonomy code is 133V00000X with license number L005687 (NC). The provider is registered as an individual and his NPI record was last updated June 2026.
- NPI
- 1245845122 Verify this NPI
- Provider Name
- BRAEDYN WESLEY MALLARD RDN, LDN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 341 KILMAYNE DR STE 104 CARY, NC 27511
- Location Phone
- (919) 274-6166
- Mailing Address
- 341 KILMAYNE DR STE 104 CARY, NC 27511
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-09-2020
- Last Update Date
- 06-10-2026
- Code Navigator
Location Map
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.
- L005687
- 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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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245845122, enumerated as an "individual" on September 09, 2020.
The provider is located at 341 KILMAYNE DR STE 104 CARY, NC 27511 and the phone number is (919) 274-6166.
Dietitian, Registered with taxonomy code 133V00000X.
