Active NPI
Sherri Clarke, MS, RD, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1093099574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001354
- Practice address
- 12007 Richport Dr
Charlotte, NC 28277-0284 - Phone
- (704) 841-0605
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- 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 | L001354 | NC | Primary |
Addresses
Primary practice location
12007 Richport Dr
Charlotte, NC 28277-0284
Mailing address
12007 Richport Dr
Charlotte, NC 28277-0284
Phone (704) 841-0605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7810 Ballantyne Commons Pkwy
Suite 221
Charlotte, NC 28277-3416
Phone (704) 995-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001354 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuel 4 Life | Dietitian, Registered | Current | Accepting new patients |
Locations
7810 Ballantyne Commons Pkwy
Ste 221
Charlotte, NC 28277
Phone (704) 995-3434
Organizations & group practices 1
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": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1093099574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12007 RICHPORT DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770284",
"telephone_number": "704-841-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12007 RICHPORT DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770284",
"telephone_number": "704-841-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "SHERRI",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001354",
"primary": true
}
],
"identifiers": [],
"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 Oct 3, 2011; 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.