NPIMap

Organization Active NPI

Transcend Nutrition Counseling, LLC

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1043601172
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003980 Issued in NC
Legal business name
TRANSCEND NUTRITION COUNSELING, LLC
Practice address
10205 Four Mile Creek Rd
Charlotte, NC 28277-8701
Phone
(704) 640-4161
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Melanie Miller Dwyer, RDN, LDN
Title
Member
Phone
(704) 640-4161

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133N00000X L003980 NC
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X L003980 NC
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X L003980 NC Primary
Pediatric Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133VN1004X L003980 NC
Renal Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133VN1005X L003980 NC
Metabolic Nutrition Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133VN1006X L003980 NC

Addresses

Primary practice location

10205 Four Mile Creek Rd
Charlotte, NC 28277-8701

Mailing address

10205 Four Mile Creek Rd
Charlotte, NC 28277-8701
Phone (704) 640-4161

Other identifiers 1

IdentifierTypeStateIssuer
12475117OtherCAQH

National Provider Directory

National Provider Directory

Locations

10643 Kettering Dr
Ste 109
Charlotte, NC 28226
Phone (704) 762-1361

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1043601172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 FOUR MILE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778701",
            "telephone_number": "704-640-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 FOUR MILE CREEK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778701",
            "telephone_number": "704-640-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCEND NUTRITION COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-640-4161",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L003980",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "L003980",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003980",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "NC",
            "license": "L003980",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NC",
            "license": "L003980",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NC",
            "license": "L003980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12475117",
            "state": null
        }
    ],
    "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 Feb 11, 2015; 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.