ISABEL LACEY EASTERLING RD
NPI 1053263004
Dietitian, Registered - Nutrition, Pediatric in Charlotte, NC

Q: What is Isabel Easterling's NPI number?

The NPI number for Isabel Easterling is 1053263004. It was assigned to this individual provider in the NPPES registry on February 12, 2026.

Q: What is Isabel Easterling's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Isabel Easterling was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 12, 2026Accepts Medicare Assignment

1001 BLYTHE BLVD STE 500, CHARLOTTE, NC 28203(704) 373-1813(704) 342-5871 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Isabel Lacey Easterling Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISABEL LACEY EASTERLING RD (NPI 1053263004) is an individual nutrition, pediatric provider in Charlotte, North Carolina and active in the NPI registry since February 2026. She maintains a secondary practice location in Charlotte and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053263004

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameISABEL LACEY EASTERLINGCredential: RD

Location Address1001 BLYTHE BLVD STE 500Charlotte, NC 28203-5863

Mailing Address1001 Blythe Blvd Ste 500Charlotte, NC 28203-5863 · (704) 373-1813 · Fax (704) 342-5871

Phone(704) 373-1813

Fax(704) 342-5871

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 12, 2026

NPPES CertifiedFebruary 12, 2026

✔ NPI 1053263004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

1001 BLYTHE BLVD STE 500, Charlotte, NC 28203

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Secondary Practice Location 1

Location 11001 Blythe Blvd Ste 300Charlotte, NC 28203-5863 · Phone (704) 381-9900 · Fax (704) 381-9901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Isabel Lacey Easterling Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456822030

PECOS Enrollment IDI20260604001319

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANITRA WILLIAMS RN

Registered Nurse