DR. VANESSA LARA PHD, CNS, LDN,LN
NPI 1558770800
Dietitian, Registered in Charlotte, NC

Q: What is Vanessa Lara's NPI number?

The NPI number for Vanessa Lara is 1558770800. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Q: What is Vanessa Lara's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vanessa Lara was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 11, 2014Accepts Medicare Assignment

10400 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(305) 613-9141 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Oct 24, 2023, Jul 10, 2023 and 2 more (5 updates tracked since 2021).

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About Dr. Vanessa Lara Phd, Cns, Ldn,ln NPPES

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

DR. VANESSA LARA PHD, CNS, LDN,LN (NPI 1558770800) is an individual dietitian, registered in Charlotte, North Carolina, licensed in Florida (10461) and active in the NPI registry since August 2014. She is a graduate of University Of Miami, Lm Miller School Of Medicine (2020).

NPPES Registry Identity

NPI1558770800

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameDR. VANESSA LARACredential: PHD, CNS, LDN,LN

Location Address10400 MALLARD CREEK RD STE 300Charlotte, NC 28262-5211

Mailing Address3149 Beeler LnCharlotte, NC 28208-6358 · (305) 613-9141

Phone(305) 613-9141

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2020

Enumeration DateAugust 11, 2014

Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1558770800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in FL · 10461✔ Licensed in MD · DX9856

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 ListedNutritionistTaxonomy 133N00000X · License ND10461 (FL)

10400 MALLARD CREEK RD STE 300, Charlotte, NC 28262

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vanessa Lara Phd, Cns, Ldn,ln 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 ID4688024755

PECOS Enrollment IDI20240102002400

Medicare Billing Reassignment

Medicare enrollment records show Vanessa Lara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Total Nutrition Technology, Inc.

Same address

Dietitian, Registered

10400 MALLARD CREEK RD STE 340
Charlotte, NC 28262

Reassigned Medicare billing, North Carolina enrollment
4 clinicians in this Medicare group

NPI 1467599001 (704) 549-9550

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vanessa Lara's NPI number?

The NPI number for Vanessa Lara is 1558770800. It was assigned to this individual provider in the NPPES registry on August 11, 2014.

Where is Vanessa Lara located?

Vanessa Lara practices at 10400 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (305) 613-9141.

What is Vanessa Lara's specialty?

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

Is Vanessa Lara enrolled in Medicare?

Yes. Vanessa Lara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Vanessa Lara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Lara reassigns Medicare benefits to Total Nutrition Technology, Inc. (Charlotte, NC). The 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 Vanessa Lara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vanessa Lara was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.