Individual provider Active NPI

Traci Suzanne Malone, MHS, RD, LDN

  • Registered Dietitian
  • Asheville, NC
National Provider Identifier
1891991113
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002407 Issued in NC
Practice address
70 Woodfin PL
Suite 327
Asheville, NC 28801-2463
Phone
(828) 231-0474
Fax
(828) 378-0268
NPI assigned
Jun 24, 2007
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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 L002407 NC Primary

Addresses

Primary practice location

70 Woodfin PL
Suite 327
Asheville, NC 28801-2463

Mailing address

70 Woodfin PL
Suite 327
Asheville, NC 28801-2463
Phone (828) 231-0474

Other identifiers 1

IdentifierTypeStateIssuer
1407EOtherNCBCBSNC

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

LicenseStateTypeSpecialty
L002407NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospitals, Inc Past Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Allara Medical Group PA Past Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Mission Hospital Inc Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1891991113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WOODFIN PL",
            "address_2": "SUITE 327",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012463",
            "telephone_number": "828-231-0474",
            "fax_number": "828-378-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WOODFIN PL",
            "address_2": "SUITE 327",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012463",
            "telephone_number": "828-231-0474",
            "fax_number": "828-378-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "TRACI",
        "middle_name": "SUZANNE",
        "credential": "MHS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-24",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1407E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.