Individual provider Active NPI

Patrick Zeoli, RD

  • Registered Dietitian
  • Fort Mill, SC
National Provider Identifier
1649980665
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L007138 Issued in NC
Practice address
1035 Rolling Park LN
Fort Mill, SC 29715-7086
Phone
(803) 526-7562
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L007138 NC Primary

Addresses

Primary practice location

1035 Rolling Park LN
Fort Mill, SC 29715-7086

Mailing address

1035 Rolling Park LN
Fort Mill, SC 29715-7086
Phone (609) 937-5438

Other practice location 1

9209 Baybrook Ln
Charlotte, NC 28277-3576
Phone (704) 380-4655

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

LicenseStateTypeSpecialty
L007138NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zeoli Family Nutrition Consulting LLC Dietitian, Registered CurrentSince Mar 1, 2024 Accepting new patients

Locations

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1649980665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ROLLING PARK LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157086",
            "telephone_number": "609-937-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ROLLING PARK LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157086",
            "telephone_number": "803-526-7562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9209 Baybrook Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282773576",
            "country_code": "US",
            "telephone_number": "704-380-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEOLI",
        "first_name": "PATRICK",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.