Active NPI
Brittany Rose Pearo, RD, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1659590651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002751
- Practice address
- 1001 Blythe Blvd
Charlotte, NC 28203-5866 - Phone
- (704) 381-8865
- NPI assigned
- Apr 25, 2007
- Last updated
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002751 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd
Charlotte, NC 28203-5866
Mailing address
310 Demaree LN
Matthews, NC 28105-5678
Phone (704) 574-1967
Other practice location 1
301 Yadkin St
Albemarle, NC 28001-3441
Phone (704) 983-8205
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 |
|---|---|---|---|
| L002751 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1659590651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 DEMAREE LN",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055678",
"telephone_number": "704-574-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866",
"telephone_number": "704-381-8865"
}
],
"practiceLocations": [
{
"address_1": "301 Yadkin St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013441",
"country_code": "US",
"telephone_number": "704-983-8205",
"fax_number": "704-984-4670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEARO",
"first_name": "BRITTANY",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002751",
"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 Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.