Active NPI
Kina Charles, MS, RDN
- Registered Dietitian
- Wadesboro, NC
National Provider Identifier
1487029658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86001053
- Practice address
- 2031 US Highway 74
Wadesboro, NC 28170 - Phone
- (704) 994-4810
- NPI assigned
- Dec 14, 2015
- 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 | 86001053 | NC | Primary |
Addresses
Primary practice location
2031 US Highway 74
Wadesboro, NC 28170
Mailing address
1309 Bedlington Dr NW
Charlotte, NC 28269-7012
Phone (704) 425-4248
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86001053 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1487029658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 BEDLINGTON DR NW",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282697012",
"telephone_number": "704-425-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2031 US HIGHWAY 74",
"city": "WADESBORO",
"state": "NC",
"postal_code": "28170",
"telephone_number": "704-994-4810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "KINA",
"name_prefix": "Mrs.",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-14",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "86001053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wadesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.