Amanda Salley, MS, RD, CSP, LDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

2758 Issued in SC

Practice address

129 Palm Cove Way
Mount Pleasant, SC 29466-8160

Phone

(260) 804-2880

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1043757149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 PALM COVE WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668160",
            "telephone_number": "260-804-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PALM COVE WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668160",
            "telephone_number": "260-804-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "AMANDA",
        "credential": "MS, RD, CSP, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IL",
            "license": "164.006966",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "SC",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Saffer, DPM
• Sage Dental of Mount Pleasant, PLLC
• Mohammad Hasan Emad Salameh, MD
• Lauri Salazar, P.T.
• Lisa Michele Saldana, LMFT
• Salterbeck Sleep LLC
• Paul M Salvatore, O.D.
• Samantha Tomer LLC
• Trevan Samp, DMD
• Kelly C Sams, R.PH.

• Pediatric Nutrition Registered Dietitian in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Nutrition Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.