Active NPI
Dylan Carson, MS, RDN, LDN
- Registered Dietitian
- Hoover, AL
National Provider Identifier
1023714623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4039
- Practice address
- 1516 Cypress Cove Cir
Hoover, AL 35244-8247 - Phone
- (256) 609-6687
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4039 | AL | Primary |
Addresses
Primary practice location
1516 Cypress Cove Cir
Hoover, AL 35244-8247
Mailing address
1516 Cypress Cove Cir
Hoover, AL 35244-8247
Phone (256) 609-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4039 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dylan Carson Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1023714623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 CYPRESS COVE CIR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352448247",
"telephone_number": "256-609-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 CYPRESS COVE CIR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352448247",
"telephone_number": "256-609-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "DYLAN",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "4039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.