Active NPI
Devan Marie Herring, RD
- Registered Dietitian
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005956
- Practice address
- 1001 Blythe Blvd
Ste 500
Charlotte, NC 28203-5866 - Phone
- (704) 373-1813
- NPI assigned
- Sep 13, 2019
- Last updated
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L005956 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd
Ste 500
Charlotte, NC 28203-5866
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277-3372
Phone (704) 667-2600
Other practice location 2
100 Medical Park Dr
Ste 310
Concord, NC 28025-2948
Phone (704) 403-2860
Other practice location 3
1781 Tate Blvd SE
Ste 203
Hickory, NC 28602-4251
Phone (704) 381-3970
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dherring475475@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- University of Maryland School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8095 Innovation Park Dr
Fairfax, VA 22031-4868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Devanitely, LLC | Dietitian, Registered | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Dietitian Services LLC | Current | Accepting new patients | |
| Providence Pediatrics | Past | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients |
Locations
1315 Matthews Mint Hill Rd
Ste B
Matthews, NC 28105
Phone (704) 387-4460
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
Interoperability endpoints
- dherring475475@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
dba Devanitely Nourished
- Registered Dietitian
- Charlotte, NC
- NPI 1497595847
Dietitian, Registered
-
- Clinic/Center
- Matthews, NC
- NPI 1982311809
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Atrium Health Levine Children's Providence Pediatrics
- Pediatrics Physician
- Charlotte, NC
- NPI 1326078072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1316597115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"address_2": "STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866",
"telephone_number": "704-373-1813"
}
],
"practiceLocations": [
{
"address_1": "14214 Ballantyne Lake Rd",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773372",
"country_code": "US",
"telephone_number": "704-667-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Park Dr",
"address_2": "Ste 310",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252948",
"country_code": "US",
"telephone_number": "704-403-2860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1781 Tate Blvd SE",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286024251",
"country_code": "US",
"telephone_number": "704-381-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRING",
"first_name": "DEVAN",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2024-07-15",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005956",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dherring475475@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "1001 Blythe Blvd",
"address_2": "Ste 500",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035866",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.