Active NPI
Yolanda Michelle Davis, RD
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1932191731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L003357
- Practice address
- 2630 E 7TH St
Charlotte, NC 28204-4318 - Phone
- (704) 355-9484
- NPI assigned
- Aug 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L003357 | NC | Primary |
| Nutritionist | 133N00000X | L003357 | NC |
Addresses
Primary practice location
2630 E 7TH St
Charlotte, NC 28204-4318
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
10660 Park Rd
Ste 4400
Charlotte, NC 28210-8413
Phone (704) 667-2681
Other practice location 2
2550 Court Dr
Ste 202
Gastonia, NC 28054-2152
Phone (704) 446-8100
Other practice location 3
1090 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 403-7580
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
| Direct Messaging Address | ydavis207946@CarolinasHealthcareSystem.direct-ci.com | Atrium Health |
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 |
|---|---|---|---|
| L003357 | NC | MD | Nutritionist |
Interoperability endpoints
- ydavis207946@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678320000000",
"number": "1932191731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282044318",
"telephone_number": "704-355-9484"
}
],
"practiceLocations": [
{
"address_1": "10660 Park Rd",
"address_2": "Ste 4400",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108413",
"country_code": "US",
"telephone_number": "704-667-2681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2550 Court Dr",
"address_2": "Ste 202",
"address_purpose": "LOCATION",
"city": "Gastonia",
"state": "NC",
"postal_code": "280542152",
"country_code": "US",
"telephone_number": "704-446-8100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1090 Vinehaven Dr NE",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252438",
"country_code": "US",
"telephone_number": "704-403-7580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "YOLANDA",
"middle_name": "MICHELLE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2023-03-09",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L003357",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NC",
"license": "L003357",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ydavis207946@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "2630 E 7th St",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282044318",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.