Erin Nichole Davis, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86080203 Issued in NC

Practice address

101 Waxhaw Professional Park Dr Ste E
Waxhaw, NC 28173-0501

Phone

(980) 289-0460

NPI assigned

May 3, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1487180915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WAXHAW PROFESSIONAL PARK DR STE E",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WAXHAW PROFESSIONAL PARK DR STE E",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281730501",
            "telephone_number": "980-289-0460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Van Buren Ave",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280795573",
            "country_code": "US",
            "telephone_number": "704-575-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ERIN",
        "middle_name": "NICHOLE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "86080203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS
• Jaclyn Janine Dacier, RPH
• Christy Daniel
• Haley Darden, OTR/L
• Amy Maura David, MSW, LCSW
• Laurel Anne Davis
• Sierra Davis, DC
• Jordan Nicole Defilippo, SLP
• Irene Degangi, M.A., CCC-SLP
• Karen Degraaf, LPC

• Registered Dietitian in Waxhaw, NC
• Providers in Waxhaw, 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 Jan 13, 2019; 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.