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WILLOW TAYLOR THOMAS RD, LDN
NPI 1780544221
Dietitian, Registered in Durham, NC

Active since November 17, 2025
1301 FAYETTEVILLE ST, DURHAM, NC 27707(919) 956-4000 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willow Taylor Thomas Rd, Ldn NPPES

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

WILLOW TAYLOR THOMAS RD, LDN (NPI 1780544221) is an individual dietitian, registered in Durham, North Carolina, licensed in North Carolina (L009000) and active in the NPI registry since November 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1780544221
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameWILLOW TAYLOR THOMASCredential: RD, LDN
Location Address1301 FAYETTEVILLE STDurham, NC 27707-2398
Mailing Address1301 Fayetteville StDurham, NC 27707-2398 · (919) 956-4508
Phone(919) 956-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 17, 2025
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1780544221 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 · L009000
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.
1301 FAYETTEVILLE ST, Durham, NC 27707
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willow Taylor Thomas Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719470236
PECOS Enrollment IDI20251203002468

Medicare Billing Reassignment

Medicare enrollment records show Willow Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lincoln Community Health Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
1301 FAYETTEVILLE ST
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1114978582 (919) 956-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ZHONGFEI LIANG DDS
Dentist (General Practice)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4034
VERONICA ACEVEDO PA-C
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
TIFFANY A THIEKEN
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
ANDREA FLORES MD
Family Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
RAJEEV KUMAR BAIS M.D.
Internal Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
DR. JULIANA MILLER HODGES DNP, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4074
ERICA C FRIEDMAN PAC
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
NEYSA S HEYWARD M.D.
Pediatrics
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000

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 Willow Thomas's NPI number?

The NPI number for Willow Thomas is 1780544221. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Willow Thomas located?

Willow Thomas practices at 1301 Fayetteville St, Durham, NC 27707. The listed phone number is (919) 956-4000.

What is Willow Thomas's specialty?

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

Is Willow Thomas enrolled in Medicare?

Yes. Willow Thomas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Willow Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willow Thomas reassigns Medicare benefits to Lincoln Community Health Center Incorporated (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willow Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Willow Thomas was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.