Grace Rebecca Anderson, RN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

012676-01 Issued in NY

Practice address

8251 Windsor Hill Blvd Apt 9303
North Charleston, SC 29420-8450

Phone

(423) 366-1863

NPI assigned

Oct 10, 2024

Last updated

Aug 30, 2025By the provider in NPPES

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

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Sarah Lynn Nutrition

  • Registered Dietitian
  • Camillus, NY
  • NPI 1730851346

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1194544692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 WINDSOR HILL BLVD APT 9303",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208450",
            "telephone_number": "423-366-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 WINDSOR HILL BLVD APT 9303",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208450",
            "telephone_number": "423-366-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GRACE",
        "middle_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "278962",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "012676-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Michelle Amoriello, RN
• Austin Skyler Amos, MD
• Eugene Ancrum II, PA
• Benjamin Anders, D.D.S., M.D.S.
• Susan Anderson Mullins, LICENSED OPTICIAN
• Gregory Paul Anderson, D.C.
• Martha Rosetta Anderson, RN, BNS, CCM
• Melissa Anderson
• Rachel Christine Anderson, RBT
• Tracey Renee Anderson

• Registered Dietitian in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.