Fuel 4 Life

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L0001354 Issued in NC

Legal business name

FUEL 4 LIFE

Practice address

12007 Richport Dr
Charlotte, NC 28277-0284

Phone

(704) 841-0605

NPI assigned

Aug 31, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sherri Clarke, RDNPI 1093099574

Title

Owner

Phone

(704) 841-0605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Sherri Clarke, MS, RD, LDN

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1093099574

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Susan Lynn Leslie, MS, RDN

  • Renal Nutrition Registered Dietitian
  • Charlotte, NC
  • NPI 1942917448
  NPD
• Kimberly Dunsmore Smith, R.D.

  • Registered Dietitian
  • Stanley, NC
  • NPI 1386085579

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1124377502",
    "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": {
        "organization_name": "FUEL 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-841-0605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L0001354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Frye, PHARMD, BCACP
• Lakisha Elena Frye, NP
• Michael Frye, MD
• Sherri Miller Frye, SLP
• Ftei Holding Company, LLC
• Haydee Yareli Fuerte-Guerrero
• Drew Fukes, CRNA
• Elana Fulcher, RDN, LDN
• Kaye Palmer Fulcher, MSW, LCSW
• Fulfilled Services Inc.

• 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 Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.