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CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING NPI 1841622792


NPI Information

NPI: 1841622792
Provider Name: CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
9815 DAVID TAYLOR DR STE 100
CHARLOTTE, NC
ZIP 28262
Phone: (704) 385-4789
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CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING 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. CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING NPI is 1841622792. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9815 DAVID TAYLOR DR STE 100
CHARLOTTE, NC
ZIP 28262-358
Phone: (704) 385-4789
Fax: (704) 347-4710

The provider's authorized official is Geraldine Gardner .
The authorized official title is Executive Director and has the following contact phone number (704) 351-7130.

The enumeration date for this NPI number is 8/2/2013 and was last updated on 10/27/2021.


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
1174H00000XHealth EducatorNo
2133V00000XDietitian, RegisteredYes

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
114505743OTHERCAQH

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

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