Tina Schmidt Dietrich, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

833664 Issued in NC

Practice address

9414 Penshurst Trce
Charlotte, NC 28210-7713

Phone

(704) 747-9457

Fax

(980) 236-7656

NPI assigned

Sep 7, 2012

Last updated

Sep 7, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1427307297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9414 PENSHURST TRCE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107713",
            "telephone_number": "704-747-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9414 PENSHURST TRCE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107713",
            "telephone_number": "704-747-9457",
            "fax_number": "980-236-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "TINA",
        "middle_name": "SCHMIDT",
        "name_prefix": "Ms.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "833664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITIAN",
            "identifier": "L001240",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETIAN",
            "identifier": "833664",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lane Dielwart, M.D
• Stephen Diemont, MD
• Mark Diener, DC
• James Dierkes
• Dietitians Helping Dietitians LLC
• Alexander Gregory Dietz, DDS
• Tami Graven Dietz, LCSA
• Different MHP, PC
• John W Difiore, MD
• Courtney Difranco, MSW, LCSWA

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, 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 Sep 7, 2012; 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.