Provider Type Icon

LAKE NORMAN NUTRITITION ASSOCIATES LLC NPI 1164556098


NPI Information

NPI: 1164556098
Provider Name: LAKE NORMAN NUTRITITION ASSOCIATES, LLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
3535 RANDOLPH RD
SUITE 210
CHARLOTTE, NC
ZIP 28211
Phone: (704) 895-9865
Get Directions

LAKE NORMAN NUTRITITION ASSOCIATES, LLC is a dietitian registered in Charlotte, NC. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. LAKE NORMAN NUTRITITION ASSOCIATES, LLC NPI is 1164556098. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3535 RANDOLPH RD
SUITE 210
CHARLOTTE, NC
ZIP 28211-032
Phone: (704) 895-9865
Fax: (704) 895-9870

The provider's authorized official is Christin Schwarz Wooten .
The authorized official title is Owner And Partner and has the following contact phone number (704) 895-9865.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredL001079NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17581332OTHERNORTH CAROLINAAETNA, BCBS
20154292OTHERNORTH CAROLINACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.