Individual provider Active NPI

Carla Rae Burke, RD

  • Registered Dietitian
  • Columbia, SC
National Provider Identifier
1023527835
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2040 Issued in SC
Practice address
9 Richland Medical Park Dr Ste 505
Columbia, SC 29203-6844
Phone
(803) 434-2505
Fax
(803) 434-2181
NPI assigned
Sep 25, 2017
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004620 NC
Registered Dietitian 133V00000X 2040 SC Primary

Addresses

Primary practice location

9 Richland Medical Park Dr Ste 505
Columbia, SC 29203-6844

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8603

Other practice location 1

236 Skyland Dr
Columbia, SC 29210-8224
Phone (919) 500-9413

Other practice location 2

3529 Eden Croft Dr
Raleigh, NC 27612-4323
Phone (919) 412-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908004035 SC Practitioner - Registered Dietitian Or Nutrition Professional 6709282296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L004620NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Jul 22, 2021 Accepting new patients
Kids in Pursuit CurrentSince Apr 28, 2024 Accepting new patients
In Pursuit Nutrition Dietitian, Registered CurrentSince Jan 21, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jul 22, 2021 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Everfit Inc Dietitian, Registered Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

9 Richland Medical Park Dr
Ste 505
Columbia, SC 29203
Phone (803) 434-2505

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1023527835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR STE 505",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036844",
            "telephone_number": "803-434-2505",
            "fax_number": "803-434-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Skyland Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292108224",
            "country_code": "US",
            "telephone_number": "919-500-9413",
            "fax_number": "803-296-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3529 Eden Croft Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276124323",
            "country_code": "US",
            "telephone_number": "919-412-7746",
            "fax_number": "919-981-9117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CARLA",
        "middle_name": "RAE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004620",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.