Leigh Anne Charles, MA,RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L002833 Issued in NC

Practice address

2230 Horizon CT
Conover, NC 28613-9253

Phone

(828) 228-1027

NPI assigned

Sep 25, 2006

Last updated

Apr 20, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment NPD

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1497855951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043520",
            "telephone_number": "336-716-8232",
            "fax_number": "336-716-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 HORIZON CT",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139253",
            "telephone_number": "828-228-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA,RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0254",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catawba Valley Medical Group Inc (Catawba Valley Family Medicine- Conover)
• Catawba Valley Medical Group, Inc (Catawba Valley Family Medicine-Graystone)
• Catawba Valley Medical Group, Inc (Catawba Valley Cardiology)
• Center for Advanced Vein Care PLLC
• Audrey Cervero, MA, LPC
• Child & Family Therapy Center PC
• Children's Advocacy Center
• Children's Advocacy Center of Catawba County
• Children's Advocacy Center of Catawba County
• Chopah, Inc (The Alberta House)

• Registered Dietitian in Conover, NC
• Providers in Conover, 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 Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.