Active NPI
Demi Lane Eckhoff, RDN
- Registered Dietitian
- Matthews, NC
National Provider Identifier
1831790286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006272
- Practice address
- 1212 Mann Dr Ste 100
Matthews, NC 28105-5511 - Phone
- (919) 590-0558
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | L006272 | NC | Primary |
Addresses
Primary practice location
1212 Mann Dr Ste 100
Matthews, NC 28105-5511
Mailing address
200 Carraway Xing Ste 2404
Chapel Hill, NC 27516-7093
Phone (919) 590-0558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L006272 | Other | NC | LDN |
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 |
|---|---|---|---|
| L006272 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annie Goldsmith Rd | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1831790286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CARRAWAY XING STE 2404",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275167093",
"telephone_number": "919-590-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MANN DR STE 100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055511",
"telephone_number": "919-590-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHOFF",
"first_name": "DEMI",
"middle_name": "LANE",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LDN",
"identifier": "L006272",
"state": "NC"
}
],
"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 Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.