Individual
MS. SHELLY HOWARD WEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
4200 LAKE BOONE TRL, RALEIGH, NC 27607-6521
(919) 784-3419
(919) 784-3094
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
(984) 974-1256
(984) 974-1316
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L002059
NC
133NN1002X
Nutrition Education Nutritionist
L002059
NC
133V00000X
Registered Dietitian
Primary
L002059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q50643A
MEDICARE PTAN
NC
01
—
Q50643E853
MEDICARE PTAN
NC
Enumeration date
05/18/2007
Last updated
04/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us