Healthcare Provider Details

I. General information

NPI: 1518885441
Provider Name (Legal Business Name): ISA RAMOS-CASTILLO MS, RDN, LDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 COPPERFIELD BLVD NE STE 102
CONCORD NC
28025-2443
US

IV. Provider business mailing address

866 OVAL ST
KANNAPOLIS NC
28081-2048
US

V. Phone/Fax

Practice location:
  • Phone: 704-403-3543
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL007455
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: