AMANDA HERLOCKER (NPI# 1811380058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811380058 |
| Entity Type | Individual |
| Full Name | AMANDA HERLOCKER |
| Other Name | AMANDA NICOLE MANN |
| Credential | M.S., R.D.N., L.D.N. |
| Practice Address |
7940 Williams Pond Ln Suite 150 Charlotte NC 28277-8766 |
| Practice Telephone | 7047527779 |
| Practice Fax Number | 7047527775 |
| Mailing Telephone | 7047527779 |
| Mailing Fax Number | 7047527775 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004062 | NC | Dietary & Nutritional Service Providers |
| Street Address |
7940 WILLIAMS POND LN SUITE 150 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-8766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568630887 | Alicia Konneker Nielsen | Physician Assistant | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2008-02-20 |
| 1215589148 | Riccobene & Associates Xxxiii, Dds, Pa | Dentist | 7940 Williams Pond Ln, Charlotte, NC 28277-8766 | 2019-07-11 |
| 1831547173 | Blaire Lash | Dietitian, Registered | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2016-05-26 |
| 1194129395 | Triangle Wellness Pllc | General Practice | 7940 Williams Pond Ln, Suite 175, Charlotte, NC 28277-8766 | 2014-10-16 |
| 1194141978 | Charlotte Medical Center Pllc | Clinic/Center | 7940 Williams Pond Ln, Suite 250, Charlotte, NC 28277-8766 | 2014-03-17 |
| 1396176384 | Charlotte Medical Center | Family Medicine | 7940 Williams Pond Ln, Suite 250, Charlotte, NC 28277-8766 | 2013-12-02 |
| 1043648462 | Kate Johnson | Nurse Practitioner | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2013-10-22 |
| 1376976878 | Nc Preventative Medicine and Wellness Clinic, Pllc | Family Medicine | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2013-08-20 |
| 1952642142 | Triangle Wellness Pllc | Obstetrics & Gynecology | 7940 Williams Pond Ln, 150, Charlotte, NC 28277-8766 | 2013-03-13 |
| 1336486844 | Lauren Steele Kauer | Physician Assistant | 7940 Williams Pond Ln, Suite 150, Charlotte, NC 28277-8766 | 2013-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502081 | Leslie Thompson Van Horn | Dietitian, Registered | 7722 Quail Park Dr, Charlotte, NC 28210-6928 | 2020-09-14 |
| 1679188064 | Taryn Mattern | Dietitian, Registered | 4617 Dabney Vigor Dr, Charlotte, NC 28209-2839 | 2020-09-11 |
| 1508478017 | Katelin Emproto | Dietitian, Registered | 13521 Steelecroft Pkwy Unit D, Charlotte, NC 28278-7551 | 2020-08-18 |
| 1699386169 | Sequoia A Ridley | Dietitian, Registered | 7015 Berolina Ln Apt 1536, Charlotte, NC 28226-8710 | 2020-08-10 |
| 1396360954 | Madalyn Quinn | Dietitian, Registered | 309 S Sharon Amity Rd Ste 102, Charlotte, NC 28211-2886 | 2020-06-10 |
| 1578185567 | Madison Nancy Dodsworth | Dietitian, Registered | 11519 Painted Tree Rd, Charlotte, NC 28226-3841 | 2020-05-12 |
| 1356962203 | Lucy Price Hooper | Dietitian, Registered | 507 Queens Rd Apt 405, Charlotte, NC 28207-1592 | 2020-05-01 |
| 1457984478 | Tara Lavelle | Dietitian, Registered | 5434 Dockery Dr, Charlotte, NC 28209-3672 | 2020-02-18 |
| 1265072664 | Melanie Romano | Dietitian, Registered | 7733 Ballantyne Commons Pkwy Ste 201-i, Charlotte, NC 28277-4396 | 2020-01-14 |
| 1669016804 | Michael Decaro | Dietitian, Registered | 309 S Sharon Amity Rd Ste 101, Charlotte, NC 28211-2978 | 2019-10-31 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.