Active NPI
Regan Dougherty
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1689233298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005758
- Practice address
- 5970 Fairview Rd Ste 500
Charlotte, NC 28210-3124 - Phone
- (704) 680-3140
- NPI assigned
- Jun 7, 2019
- Last updated
- Jun 7, 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 | L005758 | NC | Primary |
Addresses
Primary practice location
5970 Fairview Rd Ste 500
Charlotte, NC 28210-3124
Mailing address
PO Box 13289
Durham, NC 27709-3289
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 |
|---|---|---|---|
| L005758 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthier Tomorrows, PLLC | Dietitian, Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559865600000",
"number": "1689233298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13289",
"city": "DURHAM",
"state": "NC",
"postal_code": "277093289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5970 FAIRVIEW RD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103124",
"telephone_number": "704-680-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHERTY",
"first_name": "REGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2019-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Jennifer Douds, OT
- Dougherty Villalobos Chiropractic, PLLC (Outbound Chiropractic)
- Connor Dougherty, DC
- Kathleen Mary Dougherty, CCC-SLP
- Ndome Chavone Dougherty, ANP-C
- Richard Allen Dougherty, MD
- Jenny L Doughty, PHARMD
- Douglas Yoch, Inc. (Stanley Specialty Pharmacy)
- Arianna Lee Douglas
- Brittany Marie Douglas, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.