Individual provider

Vanessa Lara, PHD, CNS, LDN,LN

Registered Dietitian Nutritionist Medicare enrolled

Vanessa Lara, PHD, CNS, LDN,LN is a Registered Dietitian in Charlotte, NC, registered under NPI 1558770800. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 10400 MALLARD CREEK RD STE 300, Charlotte, NC 28262. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10400 MALLARD CREEK RD STE 300, Charlotte, NC 28262 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
10461 FL Registered Dietitian primary
ND10461 FL Nutritionist
DX9856 MD Registered Dietitian

Licences are recorded in 2 states: FL, MD. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Registered Dietitian Or Nutrition Professional
PAC ID
4688024755
Enrollment ID
I20240102002400

Medicare enrolment is recorded as approved under the provider type Practitioner - Registered Dietitian Or Nutrition Professional. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Florida and Maryland. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
10461
Specialty
Registered Dietitian
Verify with the FL board →
MD Maryland
Licence
DX9856
Specialty
Registered Dietitian
Verify with the MD board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Dietitian, Registered covers

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. NUCC Health Care Provider Taxonomy, code 133V00000X
Dietary & Nutritional Service Providers Dietitian, Registered

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
133V00000X Registered Dietitian 10461 FL primary
133N00000X Nutritionist ND10461 FL
133V00000X Registered Dietitian DX9856 MD

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1558770800 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 11, 2014
Last updatedJul 8, 2025
StatusActive
Sole proprietorNo
CredentialPHD, CNS, LDN,LN
Practice address 10400 MALLARD CREEK RD STE 300
Charlotte, NC 28262
(305) 613-9141
Mailing address 3149 BEELER LN
Charlotte, NC 28208
This record was updated on Jul 8, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1558770800 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 7 7 0 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 5 7 0 8 0

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558770800?
NPI 1558770800 is the National Provider Identifier assigned to Vanessa Lara, PHD, CNS, LDN,LN in Charlotte, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Registered Dietitian cover?
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…
How do I contact Vanessa Lara, PHD, CNS, LDN,LN?
The phone number on file with NPPES is (305) 613-9141, last updated Jul 8, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Vanessa Lara, PHD, CNS, LDN,LN accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1558770800 a valid number?
Yes. 1558770800 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.