Individual provider Active NPI

Kimberly Kyle-Trejos, RD

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1992723811
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L002711 Issued in NC
Practice address
1718 E 4TH St Ste 404
Charlotte, NC 28204-3193
Phone
(980) 488-9730
Fax
(980) 488-9731
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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 L002711 NC Primary

Addresses

Primary practice location

1718 E 4TH St Ste 404
Charlotte, NC 28204-3193

Mailing address

PO Box 604136
Charlotte, NC 28260-4136

Other practice location 1

16525 Holly Crest Ln Ste 150
Huntersville, NC 28078-4911
Phone (980) 302-8525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kkyletrejos14426@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000495 NC Practitioner - Registered Dietitian Or Nutrition Professional 3577568518 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L002711NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC Current Accepting new patients
NMG Health Services, LLC CurrentSince May 1, 2025 Accepting new patients
NMG Health Services, LLC CurrentSince May 1, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 23, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 23, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

1918 Randolph Rd
Ste 220
Charlotte, NC 28207
Phone (704) 316-1125

6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354

1718 E 4th St
Ste 207
Charlotte, NC 28204
Phone (704) 384-7390

1718 E 4th St
Ste 404
Charlotte, NC 28204
Phone (704) 384-5393

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1992723811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST STE 404",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043193",
            "telephone_number": "980-488-9730",
            "fax_number": "980-488-9731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16525 Holly Crest Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784911",
            "country_code": "US",
            "telephone_number": "980-302-8525",
            "fax_number": "980-302-8527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYLE-TREJOS",
        "first_name": "KIMBERLY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L002711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkyletrejos14426@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "16525 Holly Crest Ln Ste 150",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280784911",
            "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 Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.