Taryn Mattern, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L005470 Issued in NC

Practice address

2820 Selwyn Ave
Suite 130, BX 651
Charlotte, NC 28209-2820

Phone

(704) 709-5021

NPI assigned

Sep 11, 2020

Reactivated

May 6, 2021

Last updated

May 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1679188064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SELWYN AVE",
            "address_2": "SUITE 130, BOX 651",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209",
            "telephone_number": "704-709-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 SELWYN AVE",
            "address_2": "SUITE 130, BX 651",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092820",
            "telephone_number": "704-709-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "TARYN",
        "name_prefix": "Mrs.",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "deactivation_date": "2021-03-30",
        "reactivation_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matrix Medical Network of North Carolina PC
• Chelsea Matson, LPCA
• Laura Matta, FNP
• Christine Marie Matte, RBT
• Gabriella Matteo
• Matters of the Heart
• Deborah Faith Matthew, MD
• Matthews Psychological and Family Services, PLLC
• Alicia Krystal Matthews, OTR
• Brent D. Matthews, MD

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.