Organization Active NPI

Your Designated Dietitian, LLC

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1861246100
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
YOUR DESIGNATED DIETITIAN, LLC
Practice address
8505 Dianthus CT Unit 201
Charlotte, NC 28277-3992
Phone
(980) 330-1994
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Carla Tretiu, RD, LDNNPI 1154004125
Title
Registered Dietitian and Ceo
Phone
(980) 330-1994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

8505 Dianthus CT Unit 201
Charlotte, NC 28277-3992

Mailing address

8505 Dianthus CT Unit 201
Charlotte, NC 28277-3992
Phone (980) 330-1994

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1861246100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8505 DIANTHUS CT UNIT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773992",
            "telephone_number": "980-330-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 DIANTHUS CT UNIT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773992",
            "telephone_number": "980-330-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR DESIGNATED DIETITIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "TRETIU",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN AND CEO",
        "authorized_official_telephone_number": "980-330-1994",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 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.