Individual provider Active NPI

Diane Lynnette Danchi, L.D.N, R.D.

  • Registered Dietitian
  • Cary, NC
National Provider Identifier
1407045107
Registry record updated Sep 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L000710 Issued in NC
Practice address
1515 SW Cary Parkway
Suite 150
Cary, NC 27511-6225
Phone
(919) 387-0080
Fax
(919) 387-3908
NPI assigned
Oct 18, 2007
Last updated
Sep 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X L000710 NC
Nutrition Education Nutritionist 133NN1002X 000710 NC
Registered Dietitian 133V00000X L000710 NC Primary

Addresses

Primary practice location

1515 SW Cary Parkway
Suite 150
Cary, NC 27511-6225

Mailing address

211 Friday Center Dr
Suite 2091, Room 2094 Hedrick Building
Chapel Hill, NC 27517-9499
Phone (984) 974-1191

Other identifiers 2

IdentifierTypeStateIssuer
Q50644E853OtherNCMEDICARE PTAN
Q50644AOtherNCMEDICARE PTAN

Other names 1

  • Ms. Diane Lynnette Carroll Former name

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

State licenses

LicenseStateTypeSpecialty
000710NCMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1407045107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FRIDAY CENTER DR",
            "address_2": "SUITE 2091, ROOM 2094 HEDRICK BUILDING",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179499",
            "telephone_number": "984-974-1191",
            "fax_number": "984-974-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SW CARY PARKWAY",
            "address_2": "SUITE 150",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116225",
            "telephone_number": "919-387-0080",
            "fax_number": "919-387-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCHI",
        "first_name": "DIANE",
        "middle_name": "LYNNETTE",
        "name_prefix": "Ms.",
        "credential": "L.D.N, R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L000710",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NC",
            "license": "000710",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L000710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q50644E853",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q50644A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "CARROLL",
            "middle_name": "LYNNETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.