Individual provider Active NPI

Tammy S. Palumbo, RD, LDN, CDE

  • Registered Dietitian
  • Gastonia, NC
National Provider Identifier
1245350305
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L003549 Issued in NC
Practice address
111 E Third Ave
Gastonia, NC 28052-4343
Phone
(704) 874-3300
NPI assigned
Mar 30, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L003549 NC Primary

Addresses

Primary practice location

111 E Third Ave
Gastonia, NC 28052-4343

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904

Other practice location 1

4525 Cameron Valley Pkwy
Suite 4100
Charlotte, NC 28211-4369
Phone (704) 302-9457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001073 NC Practitioner - Registered Dietitian Or Nutrition Professional 8123211257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L003549NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Sep 16, 2017 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Sep 16, 2017 Accepting new patients

Locations (25 of 29)

119 W Pennsylvania Ave
Bessemer City, NC 28016
Phone (704) 629-3465

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

409 S Oakland St
Gastonia, NC 28052

609 N Highland St
Gastonia, NC 28052
Phone (704) 772-4700

620 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 285-0241

890 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 853-5000

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544

1501 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-4140

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

915 Tate Blvd SE
Hickory, NC 28602
Phone 828294779312971

502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461

420 N Salisbury St
Lexington, NC 27292
Phone (336) 243-7475

212 Gamble Dr
Lincolnton, NC 28092
Phone (704) 735-7145

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

172 S Clement St
Mocksville, NC 27028
Phone (336) 477-2251

1019 N Lafayette St
Shelby, NC 28150
Phone (704) 482-8282

305 W College Ave
Shelby, NC 28152
Phone (704) 434-2598

1022 Shelton Ave
Statesville, NC 28677
Phone (704) 768-2080

1703 Davie Ave
Statesville, NC 28677
Phone (704) 818-9191

318 Turnersburg Hwy
Statesville, NC 28625
Phone (704) 872-8916

Interoperability endpoints

  • Direct secure messaging: tpalumbo248984@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245350305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-874-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E THIRD AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524343",
            "telephone_number": "704-874-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 Cameron Valley Pkwy",
            "address_2": "Suite 4100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282114369",
            "country_code": "US",
            "telephone_number": "704-302-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "TAMMY",
        "middle_name": "S.",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.