Individual provider Active NPI

Anna Mixon, RD

  • Registered Dietitian
  • Cornelius, NC
National Provider Identifier
1710611488
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
18137 W Catawba Ave Ste 6
Cornelius, NC 28031-5641
Phone
(704) 549-9550
NPI assigned
Jul 10, 2022
Last updated
Jul 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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 Primary

Addresses

Primary practice location

18137 W Catawba Ave Ste 6
Cornelius, NC 28031-5641

Mailing address

10400 Mallard Creek Rd Ste 340
Charlotte, NC 28262-5203

Other practice location 1

10400 Mallard Creek Rd Ste 340
Charlotte, NC 28262-5203
Phone (704) 549-9550

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

OrganizationSpecialtyStatusNew patients
Total Nutrition Technology, Inc. Dietitian, Registered CurrentSince Jul 17, 2022 Accepting new patients

Locations

10400 Mallard Creek Rd
Ste 340
Charlotte, NC 28262
Phone (704) 549-9550

18137 W Catawba Ave
Ste 6
Cornelius, NC 28031
Phone (704) 549-9550

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": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1710611488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 MALLARD CREEK RD STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18137 W CATAWBA AVE STE 6",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "704-549-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Mallard Creek Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282625203",
            "country_code": "US",
            "telephone_number": "704-549-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIXON",
        "first_name": "ANNA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.