Individual provider Active NPI

Jill Jaffe Durinick, RD,LDN

  • Registered Dietitian
  • Matthews, NC
National Provider Identifier
1033993340
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002994 Issued in NC
Practice address
1315 Matthews Mint Hill Rd
Matthews, NC 28105-2401
Phone
(704) 607-8793
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L002994 NC Primary

Addresses

Primary practice location

1315 Matthews Mint Hill Rd
Matthews, NC 28105-2401

Mailing address

7903 Latchington CT
Charlotte, NC 28227-3191
Phone (704) 607-8793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004003523 NC Practitioner - Registered Dietitian Or Nutrition Professional 7012362445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dietitian Services LLCGroup PAC ID 6507237856, 2 clinicians

Practice addresses (Care Compare)

4301 Morris Park Dr
Suite 21
Mint Hill, NC 28227-8253
Phone (704) 387-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dietitian Services LLC CurrentSince Sep 1, 2023 Accepting new patients
My Diabetes Dietitian, Inc. Dietitian, Registered PastSince Sep 1, 2022 Accepting new patients

Locations

1315 Matthews Mint Hill Rd
Ste B
Matthews, NC 28105
Phone (704) 387-4460

1315 Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 305-8711

4301 Morris Park Dr
#21
Mint Hill, NC 28227
Phone (704) 387-4460

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1033993340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 LATCHINGTON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282273191",
            "telephone_number": "704-607-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MATTHEWS MINT HILL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052401",
            "telephone_number": "704-607-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURINICK",
        "first_name": "JILL",
        "middle_name": "JAFFE",
        "credential": "RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.