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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY M BLACK
NPI 1407855034
Dietitian, Registered in Lumberton, NC

Active since July 15, 2005
4300 FAYETTEVILLE RD, LUMBERTON, NC 28358(910) 671-5830 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary M Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY M BLACK (NPI 1407855034) is an individual dietitian, registered in Lumberton, North Carolina, licensed in North Carolina (L000588) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1407855034
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY M BLACK
Location Address4300 FAYETTEVILLE RDLumberton, NC 28358-2677
Mailing Address300 W 27th St, Attn: William J GutekunstLumberton, NC 28358-3075 · (910) 671-5000
Phone(910) 671-5830
Sole ProprietorNo
Enumeration DateJuly 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407855034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L000588
Definition
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.
4300 FAYETTEVILLE RD, Lumberton, NC 28358
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MANDESA MALIKA SMITH CNM
Advanced Practice Midwife
4300 FAYETTEVILLE RD
LUMBERTON, NC 28358
Robeson County (910) 608-3078
RAINBOW PEDIATRICS OF FAYETTEVILLE
Pediatrics
4300 FAYETTEVILLE RD
LUMBERTON, NC 28358
Robeson County (910) 276-7570
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Clinic/Center
4300 FAYETTEVILLE RD
LUMBERTON, NC 28358
Robeson County (910) 671-8556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Black's NPI number?

The NPI number for Mary Black is 1407855034. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Mary Black located?

Mary Black practices at 4300 Fayetteville Rd, Lumberton, NC 28358. The listed phone number is (910) 671-5830.

What is Mary Black's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Mary Black was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.