Active NPI
De Shunda Simone Jones
- Nutritionist
- Charlotte, NC
National Provider Identifier
1518597897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 8012
- Practice address
- 8549 Langley Mill CT
Charlotte, NC 28215-7320 - Phone
- (980) 202-2717
- NPI assigned
- Jan 24, 2020
- Last updated
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 8012 | NC | Primary |
Addresses
Primary practice location
8549 Langley Mill CT
Charlotte, NC 28215-7320
Mailing address
8549 Langley Mill CT
Charlotte, NC 28215-7320
Phone (980) 202-2717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8012 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1518597897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8549 LANGLEY MILL CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157320",
"telephone_number": "980-202-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8549 LANGLEY MILL CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157320",
"telephone_number": "980-202-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DE SHUNDA",
"middle_name": "SIMONE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NC",
"license": "8012",
"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 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.