CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING (NPI# 1841622792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841622792 |
| Entity Type | Organization |
| Organization Name | CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING |
| Practice Address |
525 N Tryon St 12th Floor Charlotte NC 28202-0202 |
| Practice Telephone | 7043722416 |
| Practice Fax Number | 7043474710 |
| Mailing Telephone | 7043722416 |
| Mailing Fax Number | 7043474710 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | JIM PROSSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7043722416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | Other Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
525 N TRYON ST 12TH FLOOR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-0202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303108 | Matthew James Hargreaves | Chiropractor | 525 N Tryon St, Suite 1615, Charlotte, NC 28202-0200 | 2006-10-23 |
| 1710597612 | Tashecka Renee Davis | Counselor | 525 N Tryon St, Charlotte, NC 28202-0202 | 2020-08-05 |
| 1477035566 | Samantha Diana Caouette | Behavior Technician | 525 N Tryon St, Charlotte, NC 28202-0202 | 2018-09-05 |
| 1699202317 | Paymon Kazemeini | Behavior Technician | 525 N Tryon St, Ste 600, Charlotte, NC 28202-0202 | 2017-05-11 |
| 1700186426 | Mary Jane Marshall | Dentist | 525 N Tryon St, Suite 1600, Pmb 209, Charlotte, NC 28202-0202 | 2010-10-28 |
| 1013233543 | Collins Youth Homes, Inc | Community/Behavioral Health | 525 N Tryon St, Suite 1600, Charlotte, NC 28202-0202 | 2010-04-08 |
| 1316102130 | Carolina's Spine and Sports Treatment Center, Pllc | Chiropractor | 525 N Tryon St, Suite 1615, Charlotte, NC 28202-0200 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| 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.