Be Nutrition LLC

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

Legal business name

BE NUTRITION LLC

Practice address

4651 Charlotte Park Dr Ste 101C
Charlotte, NC 28217-1916

Phone

(704) 380-9924

NPI assigned

Sep 23, 2019

Last updated

Sep 23, 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

Basheerah Enahora, RDN, LDNNPI 1669924767

Title

Registered Dietitian and Ceo

Phone

(704) 380-9924

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Basheerah Enahora, RDN, LDN

  • Registered Dietitian
  • Charlotte, NC
  • NPI 1669924767

  Nutrition, Metabolic

  NPD Authorized official

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1295386001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR STE 101C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171916",
            "telephone_number": "704-380-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 CHARLOTTE PARK DR STE 101C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171916",
            "telephone_number": "704-380-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "ENAHORA",
        "authorized_official_first_name": "BASHEERAH",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN AND CEO",
        "authorized_official_telephone_number": "704-380-9924",
        "authorized_official_credential": "RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
            "identifier": "19NJW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Metabolic Nutrition Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Metabolic Nutrition Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.