Charlotte Dietitians LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

CHARLOTTE DIETITIANS LLC

Practice address

1212 Mann Dr Ste 100
Matthews, NC 28105-5511

Phone

(561) 603-1779

Fax

(704) 839-2335

NPI assigned

Oct 4, 2019

Last updated

Oct 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Corrie Darcy Thomas, MS, RD, LD/NNPI 1922351469

Title

Owner

Phone

(561) 603-1779

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corrie Darcy Thomas, MS, RD, CSO, LD/N

  • Registered Dietitian
  • Matthews, NC
  • NPI 1922351469
  Authorized official Same address or phone

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1205477858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 BRIGHTMOOR RIDGE DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052433",
            "telephone_number": "561-603-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MANN DR STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055511",
            "telephone_number": "561-603-1779",
            "fax_number": "704-839-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE DIETITIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_middle_name": "DARCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-603-1779",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RD, LD/N"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
            "identifier": "1922351469",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.charlottedietitians.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1212 Mann Dr Ste 100",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Matthews, NC
• Providers in Matthews, 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 Oct 7, 2019; 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.