MATTALYNE ANN PALL RD, LD
NPI 1710839915
Dietitian, Registered in Matthews, NC

Q: What is Mattalyne Pall's NPI number?

The NPI number for Mattalyne Pall is 1710839915. It was assigned to this individual provider in the NPPES registry on February 10, 2026.

Q: What is Mattalyne Pall'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 Mattalyne Pall was last updated on August 26, 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.

Active since February 10, 2026

855 SAM NEWELL RD STE 204, MATTHEWS, NC 28105(980) 202-6643(980) 246-9482 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mattalyne Ann Pall Rd, Ld NPPES

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

MATTALYNE ANN PALL RD, LD (NPI 1710839915) is an individual dietitian, registered in Matthews, North Carolina, licensed in North Carolina (L010178) and active in the NPI registry since February 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1710839915

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMATTALYNE ANN PALLCredential: RD, LD

Location Address855 SAM NEWELL RD STE 204Matthews, NC 28105-7594

Mailing AddressPo Box 604050Charlotte, NC 28260-4050 · (980) 202-6643 · Fax (980) 246-9482

Phone(980) 202-6643

Fax(980) 246-9482

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 10, 2026

Last NPPES UpdateAugust 26, 2026

NPPES CertifiedAugust 26, 2026

✔ NPI 1710839915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NC · L010178

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.

855 SAM NEWELL RD STE 204, Matthews, NC 28105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mattalyne Ann Pall Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496216475

PECOS Enrollment IDI20260910001083

Other Providers at the Same Location NPPES 6

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

ABIGAIL ANN ROGERS

Nurse Practitioner