Active NPI
Nutrition With Nicky LLC
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1114783024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION WITH NICKY LLC
- Practice address
- 1515 Mockingbird Lane Suite 420
Charlotte, NC 28209 - Phone
- (704) 286-6545
- NPI assigned
- Feb 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole T Mobley, RDN, LD
- Title
- Registered Dietitian
- Phone
- (704) 286-6545
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1515 Mockingbird Lane Suite 420
Charlotte, NC 28209
Mailing address
1515 Mockingbird LN
Charlotte, NC 28209-3236
Phone (704) 286-6545
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1708992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709337600000",
"number": "1114783024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093236",
"telephone_number": "704-286-6545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 MOCKINGBIRD LANE SUITE 420",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28209",
"telephone_number": "704-286-6545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION WITH NICKY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-27",
"last_updated": "2024-03-02",
"certification_date": "2024-03-02",
"status": "A",
"authorized_official_last_name": "MOBLEY",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "704-286-6545",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RDN, LD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"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 Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.