Individual provider Active NPI

Amy Bilbo, MS, RD, LD, CNSC

  • Registered Dietitian
  • Charleston, SC
National Provider Identifier
1003295718
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1301 Issued in SC
Practice address
165 Ashley Ave
MSC 905
Charleston, SC 29425-9050
Phone
(843) 876-7271
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1301 SC Primary

Addresses

Primary practice location

165 Ashley Ave
MSC 905
Charleston, SC 29425-9050

Mailing address

3316 Ritch Ave
Charlotte, NC 28206-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1003295718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 RITCH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ASHLEY AVE",
            "address_2": "MSC 905",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294259050",
            "telephone_number": "843-876-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILBO",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.