Kimberly Ann Raczynski, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006841 Issued in NC

Practice address

11301 Carmel Commons Blvd
Charlotte, NC 28226-5318

Phone

(704) 549-9550

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

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 and National Provider Directory roles.

• Total Nutrition Technology, Inc.

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1467599001

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1083307128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 CARMEL COMMONS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 CARMEL COMMONS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265318",
            "telephone_number": "704-549-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZYNSKI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel P. Meena, Lcmhc, PLLC
• Caroline Racher
• Richard Ron Rachima, M.D.
• Sarah Rackers, M.D.
• Leah Racz, P.T.
• Shannon Marie Raczynski, LCSWA
• Rad Holdings LLC
• Mariah Lonnise Radcliff
• Ellen June Radeker, FNP-BC
• Caroline Anne Rader

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.