Active NPI
Terah Nicole Starbuck
- Registered Dietitian
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003814
- Practice address
- 428 E 4TH St
Charlotte, NC 28202-2434 - Phone
- (704) 380-4655
- NPI assigned
- May 2, 2013
- 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 | L003814 | NC | Primary |
Addresses
Primary practice location
428 E 4TH St
Charlotte, NC 28202-2434
Mailing address
1700 Emerywood Dr
Charlotte, NC 28210-4142
Phone (336) 692-8080
Other practice location 1
3200 Auburn Ave
Charlotte, NC 28209-1811
Phone (336) 692-8080
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Healthworks LLC | Dietitian, Registered | Current | Accepting new patients |
| NHW of Ga LLC | Dietitian, Registered | Past | Accepting new patients |
| Ascanio Physical Therapy | Past | Accepting new patients |
Locations
6903 Carpenter Fire Station Rd
Cary, NC 27519
Phone (984) 255-2409
428 E 4th St
Ste 201
Charlotte, NC 28202
Phone (704) 286-3036
19607 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (704) 625-6191
172 Williamson Rd
Unit 5205
Mooresville, NC 28117
7985 NC Highway 150 E
Unit 24
Terrell, NC 28682
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Cornelius, NC
- NPI 1679148787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1487099511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 EMERYWOOD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104142",
"telephone_number": "336-692-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 E 4TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022434",
"telephone_number": "704-380-4655"
}
],
"practiceLocations": [
{
"address_1": "3200 Auburn Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282091811",
"country_code": "US",
"telephone_number": "336-692-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARBUCK",
"first_name": "TERAH",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003814",
"primary": true
}
],
"identifiers": [],
"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 Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.