Organization Active NPI

Cheryl Buckley Nutrition LLC

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1003497439
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
CHERYL BUCKLEY NUTRITION LLC
Practice address
5003 Sharon Rd Unit G
Charlotte, NC 28210-4798
Phone
(585) 355-1718
NPI assigned
Apr 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Buckley
Title
Owner
Phone
(585) 355-1718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5003 Sharon Rd Unit G
Charlotte, NC 28210-4798

Mailing address

5003 Sharon Rd Unit G
Charlotte, NC 28210-4798

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618617600000",
    "number": "1003497439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 SHARON RD UNIT G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 SHARON RD UNIT G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104798",
            "telephone_number": "585-355-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL BUCKLEY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-355-1718"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.