TOTAL NUTRITION TECHNOLOGY, INC.
NPI 1467599001
Dietitian, Registered in Charlotte, NC

Active since January 31, 2007
10400 MALLARD CREEK RD STE 340, CHARLOTTE, NC 28262(704) 549-9550(704) 549-9570 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Mar 8, 2022 (2 updates tracked since 2022).

About Total Nutrition Technology, Inc. NPPES

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

TOTAL NUTRITION TECHNOLOGY, INC. (NPI 1467599001) is a healthcare organization registered as a dietitian, registered in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Vanessa Lara, Cso, as its authorized official.

NPPES Registry Identity

NPI1467599001
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameTOTAL NUTRITION TECHNOLOGY, INC.
Location Address10400 MALLARD CREEK RD STE 340Charlotte, NC 28262-5203
Mailing Address10400 Mallard Creek Rd Ste 340Charlotte, NC 28262-5203 · (704) 549-9550 · Fax (704) 549-9570
Fax(704) 549-9570
Organization SubpartNo
Authorized OfficialVanessa LaraCso · (704) 549-9550
Enumeration DateJanuary 31, 2007
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1467599001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
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.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedDietitian, Registered · Nutrition, PediatricTaxonomy 133VN1004X
Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X
Also ListedDietetic Technician, RegisteredTaxonomy 136A00000X
10400 MALLARD CREEK RD STE 340, Charlotte, NC 28262

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Total Nutrition Technology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Total Nutrition Technology, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Registered Dietitian or Nutrition Professional
NPI 1558770800
10400 MALLARD CREEK RD STE 300
Charlotte, NC 28262
(305) 613-9141
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1093193245
10130 MALLARD CREEK RD
Charlotte, NC 28262
(704) 549-9550
0.2 mi
Registered Dietitian or Nutrition Professional
NPI 1902152614
8642 TOSOMOCK LN
Huntersville, NC 28078
(704) 591-3333
3.4 mi
Emergency Medicine
NPI 1538117072
8658 ARBOR OAKS CIR
Concord, NC 28027
(704) 786-4970
✔ PECOS6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Nutrition Technology, Inc.'s NPI number?

The NPI number for Total Nutrition Technology, Inc. is 1467599001. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Total Nutrition Technology, Inc. located?

Total Nutrition Technology, Inc. is located at 10400 Mallard Creek Rd Ste 340, Charlotte, NC 28262. The listed phone number is (704) 549-9550.

What is Total Nutrition Technology, Inc.'s specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Total Nutrition Technology, Inc. enrolled in Medicare?

Yes. Total Nutrition Technology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Total Nutrition Technology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Total Nutrition Technology, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Registered Dietitian or Nutrition Professional (3) and Emergency Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Total Nutrition Technology, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC list Total Nutrition Technology, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Total Nutrition Technology, Inc. was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.