Kaylee Elizabeth Patrick, RD, LDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

L006033 Issued in NC

Practice address

10400 Mallard Creek Rd Ste 340
Charlotte, NC 28262-5203

Phone

(704) 549-9550

NPI assigned

Jan 13, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspire Nutrition LLP

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1093315244
  Authorized official Same address or phone
• Total Nutrition Technology, Inc.

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1467599001
  NPD
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1043850514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 CHARLIE WALKER RD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280818418",
            "telephone_number": "404-561-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 MALLARD CREEK RD STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625203",
            "telephone_number": "704-549-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KAYLEE",
        "middle_name": "ELIZABETH",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NC",
            "license": "L006033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverley Lauren Paton, MD
• Jillian Patria, BCABA
• Patrice Elizabeth Williams (Family First Therapeutic Services, PLLC)
• Lauren A Patricio
• Chanel Patrick
• Madeline Sara Patrick, OTD, OTRL
• Patriotic Health Care System, LLC. (Patriotic Health Care)
• Christine McCree Patrocinio Massinga, P.A.-C
• Alexander Philip Patrone, PA
• Joshua Charles Patt, MD

• Obesity and Weight Management Nutrition Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.