Individual provider Active NPI

Carlee Collmus Habicht, MS, RD, LDN

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1730725235
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86144416
Practice address
506 Campus St
Charlotte, NC 28216-5308
Phone
(678) 899-2269
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 86144416 Primary

Addresses

Primary practice location

506 Campus St
Charlotte, NC 28216-5308

Mailing address

506 Campus St
Charlotte, NC 28216-5308
Phone (678) 899-2269

Other identifiers 1

IdentifierTypeStateIssuer
L006036OtherNCNORTH CAROLINA LICENSE

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
CCH Nutrition L.L.C. Dietitian, Registered CurrentSince Jan 12, 2025 Accepting new patients
Madison Surgical Associates PastSince Nov 1, 2019 Accepting new patients
Total Nutrition Technology, Inc. Dietitian, Registered PastSince Mar 13, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1730725235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CAMPUS ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165308",
            "telephone_number": "678-899-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CAMPUS ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165308",
            "telephone_number": "678-899-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABICHT",
        "first_name": "CARLEE",
        "middle_name": "COLLMUS",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86144416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA LICENSE",
            "identifier": "L006036",
            "state": "NC"
        }
    ],
    "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 Jul 1, 2024; 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.