Individual provider Active NPI

Victoire Omou

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1326720244
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
222 E Bland St Unit 363
Charlotte, NC 28203-6183
Phone
(973) 967-0418
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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 Primary

Addresses

Primary practice location

222 E Bland St Unit 363
Charlotte, NC 28203-6183

Mailing address

222 E Bland St Unit 363
Charlotte, NC 28203-6183
Phone (973) 967-0418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401001591 NC Practitioner - Registered Dietitian Or Nutrition Professional 1254854102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

212 Tallowwood Dr
Westerville, OH 43081-4547

222 E Bland St
Unit 363
Charlotte, NC 28203-6183

222 E Bland St Unit
Suite 363
Charlotte, NC 28203-6183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Medical Group, LLC Dietitian, Registered CurrentSince May 23, 2025 Accepting new patients
Forsyth Medical Group LLC CurrentSince May 23, 2025 Accepting new patients
Nutrition a la Victoire LLC Dietitian, Registered CurrentSince Mar 30, 2025 Accepting new patients
Total Nutrition Technology, Inc. Dietitian, Registered Past Accepting new patients
Fig Health, Inc Dietitian, Registered PastSince Mar 26, 2025 Accepting new patients

Locations

7006 Shannon Willow Rd
Ste A
Charlotte, NC 28226
Phone (980) 960-0526

27 Doctors Dr
Hendersonvlle, NC 28792
Phone (828) 687-3800

Interoperability endpoints

  • Direct secure messaging: victoire.omou.1@27575.direct.athenahealth.com

Organizations & group practices 5

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1326720244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E BLAND ST UNIT 363",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036183",
            "telephone_number": "973-967-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E BLAND ST UNIT 363",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036183",
            "telephone_number": "973-967-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOU",
        "first_name": "VICTOIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_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 Mar 26, 2025; 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.

Verify at the official NPI Registry.