Individual provider · Type 1 NPI

Andrew James Stillwagon, MS, RDN, LDN

Registered Dietitian · Durham, NC

NPI number 1780430207 Active

Practice location

3103 Shannon Rd
Durham, NC 27707-4336

Call (919) 865-3869 Map

Fax (866) 284-2848

Other practice locations

4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 · (919) 784-7874

Specialties and licenses

Taxonomy	Code	License
Registered Dietitian Primary	133V00000X	L006974 (NC)

Registered Dietitian: 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…

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About NPI 1780430207

Andrew James Stillwagon, MS, RDN, LDN's National Provider Identifier is 1780430207, issued on Apr 25, 2024. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Durham, NC. The record was last updated on Nov 3, 2025.