Individual provider Active NPI

Meredith Mishkin Mishan, MS, RDN, LDN

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1902199300
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1018618
Practice address
2116 Club Rd
Charlotte, NC 28205-3644
Phone
(980) 202-2110
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 1018618 Primary

Addresses

Primary practice location

2116 Club Rd
Charlotte, NC 28205-3644

Mailing address

2116 Club Rd
Charlotte, NC 28205-3644
Phone (980) 202-2110

Other names 1

  • Ms. Meredith Mishkin Harper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 W 24TH St
FL 4
New York, NY 10010-3239

2435 Polk St
San Francisco, CA 94109-1679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1902199300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 CLUB RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053644",
            "telephone_number": "980-202-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 CLUB RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282053644",
            "telephone_number": "980-202-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAN",
        "first_name": "MEREDITH",
        "middle_name": "MISHKIN",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1018618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "HARPER",
            "middle_name": "MISHKIN",
            "prefix": "MS.",
            "credential": "MS, RDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.