Provider Demographics
NPI:1235931866
Name:NEWCOMB, EMILY J (RD, LDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:NEWCOMB
Suffix:
Gender:
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 PINNACLE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8920
Mailing Address - Country:US
Mailing Address - Phone:919-986-1591
Mailing Address - Fax:
Practice Address - Street 1:3516 PINNACLE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8920
Practice Address - Country:US
Practice Address - Phone:919-986-1591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003057133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered