Individual provider Active NPI

Mollie Caroline McConahay, RD, LD

  • Registered Dietitian
  • Charleston, SC
National Provider Identifier
1063247567
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LRD.2209 Issued in SC
Practice address
150 Ashley Ave RM 318
Charleston, SC 29425-8907
Phone
(843) 792-5062
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 LRD.2209 SC Primary

Addresses

Primary practice location

150 Ashley Ave RM 318
Charleston, SC 29425-8907

Mailing address

1337 Fort Johnson Rd Apt B
Charleston, SC 29412-8836
Phone (567) 203-2614

Other names 1

  • Miss Mollie Caroline Lewis Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LRD.2209SCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1063247567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 FORT JOHNSON RD APT B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128836",
            "telephone_number": "567-203-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ASHLEY AVE RM 318",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258907",
            "telephone_number": "843-792-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAHAY",
        "first_name": "MOLLIE",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "LRD.2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "LEWIS",
            "middle_name": "CAROLINE",
            "prefix": "MISS",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 4, 2024; 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.