Organization Active NPI

Devanitely, LLC

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1497595847
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
DEVANITELY, LLC
Practice address
5009 Sharon Rd Unit I
Charlotte, NC 28210-0071
Phone
(410) 259-4628
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Devan Herring, RDNPI 1316597115
Title
President
Phone
(410) 259-4628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

5009 Sharon Rd Unit I
Charlotte, NC 28210-0071

Mailing address

5009 Sharon Rd Unit I
Charlotte, NC 28210-0071
Phone (410) 259-4628

Other practice location 1

4259 Harney Rd
Taneytown, MD 21787-1739
Phone (410) 259-4628

Other names 1

  • Devanitely Nourished Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1497595847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 SHARON RD UNIT I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100071",
            "telephone_number": "410-259-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 SHARON RD UNIT I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282100071",
            "telephone_number": "410-259-4628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4259 Harney Rd",
            "address_purpose": "LOCATION",
            "city": "Taneytown",
            "state": "MD",
            "postal_code": "217871739",
            "country_code": "US",
            "telephone_number": "410-259-4628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEVANITELY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-259-4628",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devanitely Nourished",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 31, 2024; 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.