Provider Demographics
NPI:1184026924
Name:POWELL, CHASSITY HILL (MS, RDN, LDN)
Entity Type:Individual
Prefix:MS
First Name:CHASSITY
Middle Name:HILL
Last Name:POWELL
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3081 FAULKNER RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-7204
Mailing Address - Country:US
Mailing Address - Phone:252-522-3526
Mailing Address - Fax:
Practice Address - Street 1:3081 FAULKNER RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-7204
Practice Address - Country:US
Practice Address - Phone:252-522-3526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002471133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered