Active NPI
Madalyn Quinn, RD, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1396360954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006096
- Practice address
- 309 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2886 - Phone
- (704) 926-7546
- NPI assigned
- Jun 10, 2020
- 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 | L006096 | NC | Primary |
Addresses
Primary practice location
309 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2886
Mailing address
309 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2886
Phone (704) 942-6449
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86109347 | Other | NC | COMISSION ON DIETETIC REGISTRATION |
| L006069 | Other | NC | THE NORTH CAROLINA BOARD OF DIETETICS/NUTRITION |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1396360954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S SHARON AMITY RD STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112886",
"telephone_number": "704-942-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 S SHARON AMITY RD STE 102",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112886",
"telephone_number": "704-926-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "MADALYN",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMISSION ON DIETETIC REGISTRATION",
"identifier": "86109347",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE NORTH CAROLINA BOARD OF DIETETICS/NUTRITION",
"identifier": "L006069",
"state": "NC"
}
],
"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 Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.