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PEAK NURITION AND WEIGHT LOSS CLINIC PA
NPI 1942410725
Dietitian, Registered - Nutrition, Metabolic in Apex, NC

Active since May 23, 2007
1011 PEMBERTON HILL RD, SUITE 101, APEX, NC 27502(919) 367-9355(919) 367-9276 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Peak Nurition And Weight Loss Clinic Pa NPPES

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

PEAK NURITION AND WEIGHT LOSS CLINIC PA (NPI 1942410725) is a healthcare organization registered as a nutrition, metabolic in Apex, North Carolina and active in the NPI registry since May 2007. The organization lists Samuel D. Blackwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1942410725
Entity TypeOrganization
Primary Taxonomy133VN1006X
Legal Business NamePEAK NURITION AND WEIGHT LOSS CLINIC PA
Location Address1011 PEMBERTON HILL RD, SUITE 101Apex, NC 27502-4266
Mailing Address1011 Pemberton Hill Rd, Suite 101Apex, NC 27502-4266 · (919) 367-9355 · Fax (919) 367-9276
Phone(919) 367-9355
Fax(919) 367-9276
Organization SubpartNo
Authorized OfficialSamuel D. BlackwellOwner · (919) 367-9355
Enumeration DateMay 23, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1942410725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in NC · L001396
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 32989 (NC)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

LAURA NASTASSJA SULLIVAN PA
Physician Assistant
1011 PEMBERTON HILL RD, STE 101
APEX, NC 27502
Wake County (919) 620-4700
DUKE UNIVERSITY AFFLIATED PHYSICIANS, INC
Family Medicine
1011 PEMBERTON HILL RD, STE 101
APEX, NC 27502
Wake County (919) 367-9355
KATHLEEN ELIZABETH LUKASIK PA-C
Physician Assistant
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355
PEAK FAMILY MEDICINE, PA
Nurse Practitioner
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355
JACLYN FORTIER M.A.
Counselor (Mental Health)
1011 PEMBERTON HILL RD, SUITE 202
APEX, NC 27502
Wake County (919) 410-3852
DR. SAMUEL DWIGHT BLACKWELL M.D.
Family Medicine
1011 PEMBERTON HILL RD, SUITE 101
APEX, NC 27502
Wake County (919) 367-9355

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 Peak Nurition And Weight Loss Clinic PA's NPI number?

The NPI number for Peak Nurition And Weight Loss Clinic PA is 1942410725. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Peak Nurition And Weight Loss Clinic PA located?

Peak Nurition And Weight Loss Clinic PA is located at 1011 Pemberton Hill Rd Suite 101, Apex, NC 27502. The listed phone number is (919) 367-9355.

What is Peak Nurition And Weight Loss Clinic PA's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Peak Nurition And Weight Loss Clinic PA was last updated on September 11, 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.