Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coretta Queen Chaffin

Individual provider Registered Dietitian · NPI 1255944716

Coretta Queen Chaffin is a Registered Dietitian OR Nutrition Professional in Charlotte, North Carolina. Qualified in 1996, 30 years ago. Practices with Dietitian Services LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
30
Licensed in
NC
In the registry since
2020
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Practice location Address checks out

7940 Williams Pond Ln Ste 150
Charlotte, NC 28277-8409
Phone: (704) 247-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 810909 (NC)

Record details

NPI number1255944716
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Dietitian Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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