Individual provider Active NPI

Elena Diperri, MS, CNS, LN

  • Nutritionist
  • Huntersville, NC
National Provider Identifier
1811699713
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
NC000018 Issued in NC
Practice address
11129 Harris Rd
Huntersville, NC 28078-7775
Phone
(845) 233-1265
NPI assigned
Mar 22, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X NC000018 NC Primary

Addresses

Primary practice location

11129 Harris Rd
Huntersville, NC 28078-7775

Mailing address

4133 Strangford Ave
Charlotte, NC 28215-3828
Phone (845) 233-1265

Other practice location 1

4133 Strangford Ave
Charlotte, NC 28215-3828
Phone (845) 233-1265

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
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
NC000018NCMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1811699713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 STRANGFORD AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282153828",
            "telephone_number": "845-233-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129 HARRIS RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787775",
            "telephone_number": "845-233-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4133 Strangford Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282153828",
            "country_code": "US",
            "telephone_number": "845-233-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPERRI",
        "first_name": "ELENA",
        "credential": "MS, CNS, LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "NC000018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.