Active NPI
Basheerah Enahora, RDN, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1669924767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004831
- Practice address
- 4651 Charlotte Park Dr Ste 101C
Charlotte, NC 28217-1916 - Phone
- (704) 380-9924
- NPI assigned
- Oct 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | L004831 | NC | |
| Registered Dietitian | 133V00000X | L004831 | NC | Primary |
Addresses
Primary practice location
4651 Charlotte Park Dr Ste 101C
Charlotte, NC 28217-1916
Mailing address
4651 Charlotte Park Dr Ste 101C
Charlotte, NC 28217-1916
Phone (704) 380-9924
Other practice location 1
4614 Country Club Rd
Weight Management Center
Winston Salem, NC 27104-3520
Phone (336) 716-6382
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Nutrition LLC | Nutrition, Metabolic | Current | Accepting new patients |
Locations
4651 Charlotte Park Dr
Ste 101C
Charlotte, NC 28217
Phone (704) 251-5146
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.
-
- Metabolic Nutrition Registered Dietitian
- Charlotte, NC
- NPI 1295386001
Nutrition, Metabolic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1669924767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4651 CHARLOTTE PARK DR STE 101C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171916",
"telephone_number": "704-380-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 CHARLOTTE PARK DR STE 101C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171916",
"telephone_number": "704-380-9924"
}
],
"practiceLocations": [
{
"address_1": "4614 Country Club Rd",
"address_2": "Weight Management Center",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271043520",
"country_code": "US",
"telephone_number": "336-716-6382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENAHORA",
"first_name": "BASHEERAH",
"name_prefix": "Ms.",
"credential": "RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "NC",
"license": "L004831",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004831",
"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 Sep 11, 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.