Individual provider Active NPI

Allison Renae Richardson, RDN, LD

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1992349443
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005977 Issued in NC
Practice address
5970 Fairview Rd Ste 420
Charlotte, NC 28210-3167
Phone
(980) 701-4190
Fax
(980) 701-4194
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 L005977 NC Primary

Addresses

Primary practice location

5970 Fairview Rd Ste 420
Charlotte, NC 28210-3167

Mailing address

897 Pecan Tree LN
Fort Mill, SC 29715-7010
Phone (515) 975-8722

Other identifiers 2

IdentifierTypeStateIssuer
L005977OtherNCNORTH CAROLINA DIETITIAN LICENSE
1793OtherSCSOUTH CAROLINA DIETITIAN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL christymaloneyrd.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L005977NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jade Integrative Counseling and Wellness, PLLC CurrentSince Dec 29, 2019 Accepting new patients
Christy Maloney Nutrition LLC Dietitian, Registered CurrentSince Nov 3, 2019 Accepting new patients

Locations

5970 Fairview Rd
Ste 420
Charlotte, NC 28210
Phone (980) 701-4190

Organizations & group practices 2

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1992349443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 PECAN TREE LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157010",
            "telephone_number": "515-975-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 FAIRVIEW RD STE 420",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103167",
            "telephone_number": "980-701-4190",
            "fax_number": "980-701-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "ALLISON",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA DIETITIAN LICENSE",
            "identifier": "L005977",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA DIETITIAN LICENSE",
            "identifier": "1793",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christymaloneyrd.com",
            "affiliation": "N",
            "endpointDescription": "Business Owner",
            "address_1": "5970 Fairview Rd Ste 420",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282103167",
            "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 Oct 28, 2019; 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.