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

Krista Bird Pancake, RD

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1336872704

Krista Bird Pancake, RD is a Pediatric Nutrition Registered Dietitian in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022
Specialties on file
3
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Blythe Blvd Ste 200F
Charlotte, NC 28203-5866
Phone: (704) 381-6850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L006185 (NC)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Registered Dietitian Taxonomy 133V00000X · Licence 86152091 (NC)

Record details

NPI number1336872704
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

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