Active NPI
Kristen Emily Carney, RD, LDN
- Registered Dietitian
- Matthews, NC
National Provider Identifier
1346972759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006544
- Practice address
- 1212 Mann Dr Ste 100
Matthews, NC 28105-5511 - Phone
- (704) 584-9897
- NPI assigned
- Jun 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | L006544 | NC | Primary |
Addresses
Primary practice location
1212 Mann Dr Ste 100
Matthews, NC 28105-5511
Mailing address
2509 N Davidson St Apt 327
Charlotte, NC 28205-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006544 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feed Your Zest Nutrition & Wellness, LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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.
-
- Registered Dietitian
- Charlotte, NC
- NPI 1053185025
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656201600000",
"number": "1346972759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 N DAVIDSON ST APT 327",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282052192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MANN DR STE 100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055511",
"telephone_number": "704-584-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNEY",
"first_name": "KRISTEN",
"middle_name": "EMILY",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-26",
"last_updated": "2022-06-26",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
- Care Now Medical Clinic
- Careoptima, LLC
- Carillon Assisted Living of Mint Hill, LLC
- Beth L Carlson, M.D.
- Lauren Elizabeth Carlston, PA-C
- Carolina Colon & Rectal Specialists PA
- Carolina Family and Maternal Counseling, PLLC
- Carolina Family Counseling, PLLC
- Carolina Family Healthcare
- Carolina Medicorp Enterprises,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.