Individual provider Active NPI

Carlie Roseman, RD, LDN

  • Registered Dietitian
  • Pineville, NC
National Provider Identifier
1295577310
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L007919 Issued in NC
Practice address
9101 Pineville Matthews Rd
Pineville, NC 28134-8840
Phone
(980) 202-7920
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 L007919 NC Primary

Addresses

Primary practice location

9101 Pineville Matthews Rd
Pineville, NC 28134-8840

Mailing address

5472 Cheatham Ford Rd
Hiddenite, NC 28636-9168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240716003196 NC Practitioner - Registered Dietitian Or Nutrition Professional 0648715474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L007919NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince May 24, 2024 Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations

15015 Lancaster Hwy
Ste 200
Charlotte, NC 28277
Phone (980) 202-7980

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

9930 Kincey Ave
Ste 130
Huntersville, NC 28078
Phone (980) 556-7140

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

855 Sam Newell Rd
Ste 204
Matthews, NC 28105
Phone (980) 202-6643

9101 Pineville Matthews Rd
Ste C4
Pineville, NC 28134
Phone (980) 202-7920

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

Interoperability endpoints

  • Direct secure messaging: croseman1584288@direct.novanthealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1295577310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 CHEATHAM FORD RD",
            "city": "HIDDENITE",
            "state": "NC",
            "postal_code": "286369168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 PINEVILLE MATTHEWS RD",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348840",
            "telephone_number": "980-202-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "CARLIE",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.