PATRICIA CHERRY LDN NPI 1417931882

NPI Information

NPI: 1417931882
Provider Name: PATRICIA CHERRY, LDN
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
660 SUMMIT CROSSING PL
SUITE #306
GASTONIA, NC
ZIP 28054
Phone: (704) 671-7830
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Patricia Cherry, LDN is a nutrition and metabolic dietitian registered in Gastonia, NC. Patricia Cherry, LDN NPI is 1417931882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

660 SUMMIT CROSSING PL
SUITE #306
GASTONIA, NC
ZIP 28054-104
Phone: (704) 671-7830

The enumeration date for this NPI number is 11/30/2005 and was last updated on 8/29/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	L000742	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0067840	OTHER	NORTH CAROLINA	AETNA
2	00207	OTHER	NORTH CAROLINA	BLUE CROSS
3	312280	OTHER	NORTH CAROLINA	FEDERAL BLACK LUNG
4	3400032	MEDICAID	NORTH CAROLINA
5	340032	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MEDICARE
6	460595	MEDICAID	NORTH CAROLINA
7	3697	OTHER	NORTH CAROLINA	WELLPATH
8	0590625010	OTHER	NORTH CAROLINA	CIGNA
9	235048	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	CIGNA MEDICARE
10	5040770	OTHER	NORTH CAROLINA	UNITED HEALTHCARE

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: 11/14/2023

NPI Synchronization or Removal

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