Individual provider Active NPI

Natachia Dingle, MS, RD, LDN

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1659187698
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006625 Issued in NC
Practice address
12126 Lemmond Farm Dr Apt 2508
Charlotte, NC 28227-8307
Phone
(704) 779-1209
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 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 L006625 NC Primary

Addresses

Primary practice location

12126 Lemmond Farm Dr Apt 2508
Charlotte, NC 28227-8307

Mailing address

12126 Lemmond Farm Dr Apt 2508
Charlotte, NC 28227-8307
Phone (704) 779-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102002553 AZ Practitioner - Registered Dietitian Or Nutrition Professional 7810424868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L006625NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 20, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

1920 N Higley Rd
Ste 306
Gilbert, AZ 85234
Phone (480) 543-2606

1920 N Higley Rd
Ste 308
Gilbert, AZ 85234
Phone (480) 543-6600

9305 W Thomas Rd
Ste 360
Phoenix, AZ 85037
Phone (623) 327-8200

Organizations & group practices 3

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1659187698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12126 LEMMOND FARM DR APT 2508",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278307",
            "telephone_number": "704-779-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12126 LEMMOND FARM DR APT 2508",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282278307",
            "telephone_number": "704-779-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGLE",
        "first_name": "NATACHIA",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006625",
            "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 Dec 11, 2024; 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.