Jillian Harrell, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006627 Issued in NC

Practice address

114 Devonshire LN
Salisbury, NC 28146-9613

Phone

(704) 310-0122

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Diabetes Dietitian IncGroup PAC ID 5890002109, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• My Diabetes Dietitian, Inc.

  • Registered Dietitian
  • Matthews, NC
  • NPI 1134368947

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Dietitian Services LLC

  • Clinic/Center
  • Matthews, NC
  • NPI 1982311809

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1417666264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DEVONSHIRE LN",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281469613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DEVONSHIRE LN",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281469613",
            "telephone_number": "704-310-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "JILLIAN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laniya Hargrave
• Tiffani Hargrave, LCSW
• Jahkarius Hargrove, PA-C
• Erica Leigh Harper
• Quelsey Harper
• Bryan Hugh Harrelson, M.D.
• Todd Joseph Harrington, PA-C
• Heidi Harris, BS,R.T.K.,D.T.S.,
• Teresa Jo Harris
• Christy Fuller Harrison, FNP-C

• Registered Dietitian in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.