Active NPI
Rachel Marie Isom, RD
- Registered Dietitian
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005188
- Practice address
- 1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5863 - Phone
- (047) 373-1813
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 | L005188 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd Ste 500
Charlotte, NC 28203-5863
Mailing address
389 Pamela St
Gastonia, NC 28054-3917
Phone (704) 678-4897
Other practice location 1
14214 Ballantyne Lake Rd Ste 300
Charlotte, NC 28277-3373
Phone (704) 667-2600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005188 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients |
Locations
1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
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.
-
- Pediatric Cardiology Physician
- Hickory, NC
- NPI 1013232438
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1871065680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 PAMELA ST",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543917",
"telephone_number": "704-678-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035863",
"telephone_number": "047-373-1813"
}
],
"practiceLocations": [
{
"address_1": "14214 Ballantyne Lake Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282773373",
"country_code": "US",
"telephone_number": "704-667-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISOM",
"first_name": "RACHEL",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005188",
"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 Aug 26, 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.