Active NPI
Eatquilibrium LLC
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1245117449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- EATQUILIBRIUM LLC
- Practice address
- 3515 Craughwell Drive
Charlotte, NC 28209 - Phone
- (727) 692-3980
- NPI assigned
- Aug 19, 2025
- 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
- Samantha Siegel, MPH, RDN
- Title
- Ceo & Founder
- Phone
- (727) 692-3980
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
3515 Craughwell Drive
Charlotte, NC 28209
Mailing address
5820 E W.T. Harris Blvd Ste 109
#233
Charlotte, NC 28215
Phone (727) 692-3980
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": "1755561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1245117449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 E W.T. HARRIS BLVD STE 109",
"address_2": "#233",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28215",
"telephone_number": "727-692-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 CRAUGHWELL DRIVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28209",
"telephone_number": "727-692-3980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EATQUILIBRIUM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-19",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "SIEGEL",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "CEO & FOUNDER",
"authorized_official_telephone_number": "727-692-3980",
"authorized_official_credential": "MPH, RDN"
},
"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 Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.