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LAUREN BUBOLTZ RDN/LDN
NPI 1932591542
Dietitian, Registered in Cary, NC

Active since February 19, 2015Opted out of Medicare · through Apr 20, 2027
547 KEISLER DR, SUITE 104, CARY, NC 27518(919) 391-6361 Get Directions Write a Review

NPPES record last updated: September 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Buboltz Rdn/ldn NPPES

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

LAUREN BUBOLTZ RDN/LDN (NPI 1932591542) is an individual dietitian, registered in Cary, North Carolina, licensed in North Carolina (L004120) and active in the NPI registry since February 2015. She has opted out of Medicare through April 20, 2027.

NPPES Registry Identity

NPI1932591542
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLAUREN BUBOLTZCredential: RDN/LDN
Location Address547 KEISLER DR, SUITE 104Cary, NC 27518-9309
Mailing Address547 Keisler Dr, Suite 104Cary, NC 27518-9309
Phone(919) 391-6361
Sole ProprietorNo
Enumeration DateFebruary 19, 2015
Last NPPES UpdateSeptember 27, 2015
✔ NPI 1932591542 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 · L004120
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.
547 KEISLER DR, Cary, NC 27518
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lauren Buboltz Rdn/ldn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2017 through April 20, 2027.

Opt-Out Effective DateApril 20, 2017
Opt-Out In Effect ThroughApril 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

DR. PATRICIA RUTH KNAUDT M.D.
Psychiatry & Neurology (Psychiatry)
547 KEISLER DR
CARY, NC 27518
Wake County (919) 851-3939
SAMANTHA SCUDERI
Marriage & Family Therapist
547 KEISLER DR, 202
CARY, NC 27518
Wake County (919) 602-6766
CHLOE-JOYCE VILLAZOR LCSWA
Social Worker (Clinical)
547 KEISLER DR
CARY, NC 27518
Wake County (919) 893-9444

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 Lauren Buboltz's NPI number?

The NPI number for Lauren Buboltz is 1932591542. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Lauren Buboltz located?

Lauren Buboltz practices at 547 Keisler Dr Suite 104, Cary, NC 27518. The listed phone number is (919) 391-6361.

What is Lauren Buboltz's specialty?

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

Is Lauren Buboltz enrolled in Medicare?

No. Lauren Buboltz has opted out of Medicare through April 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lauren Buboltz was last updated on September 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.