Individual provider Active NPI

Heather Sylvester, RD, LDN

  • Registered Dietitian
  • Matthews, NC
National Provider Identifier
1740648567
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004798 Issued in NC
Practice address
5218 Shannamara Dr
Matthews, NC 28104-0652
Phone
(856) 417-4226
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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 L004798 NC Primary

Addresses

Primary practice location

5218 Shannamara Dr
Matthews, NC 28104-0652

Mailing address

5218 Shannamara Dr
Matthews, NC 28104-0652
Phone (856) 417-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221112000097 NC Practitioner - Registered Dietitian Or Nutrition Professional 9335516863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Diabetes Dietitian IncGroup PAC ID 5890002109, 5 clinicians

Practice addresses (Care Compare)

11330 Vanstory Dr
Suite 109
Huntersville, NC 28078-8146
Phone (704) 846-7105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L004798NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
My Diabetes Dietitian, Inc. Dietitian, Registered CurrentSince Sep 1, 2022 Accepting new patients
Dietitian Services LLC PastSince Nov 6, 2022 Accepting new patients

Locations

11330 Vanstory Dr
Ste 109
Huntersville, NC 28078
Phone (704) 846-7105

4301 Morris Park Dr
Ste 21
Mint Hill, NC 28227

Organizations & group practices 2

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1740648567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5218 SHANNAMARA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040652",
            "telephone_number": "856-417-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 SHANNAMARA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281040652",
            "telephone_number": "856-417-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVESTER",
        "first_name": "HEATHER",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.