Grace Rebecca Anderson, RN – Registered Dietitian

Key facts

NPI: 1194544692
Entity type: Individual (NPI type 1)
Primary specialty: Registered Dietitian 133V00000X
License: 012676-01 (NY)
Practice address: 8251 Windsor Hill Blvd Apt 9303
North Charleston, SC 29420-8450
Phone: (423) 366-1863
NPI assigned: Oct 10, 2024
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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

Sarah Lynn Nutrition Registered Dietitian · Camillus, NY · NPI 1730851346

Medicare reassignment NPD DIETITIAN, REGISTERED · NY

Medicare Care Compare profile

Specialty: Registered Dietitian Or Nutrition Professional
Education: Other, 2022
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

104 Fairwood Dr
Syracuse, NY 13219-2733

5100 W Genesee St
Camillus, NY 13031-2354

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260603002440	NY	Practitioner - Registered Dietitian Or Nutrition Professional	9931670619	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
012676-01	NY	MD	Registered Dietitian
278962	SC	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Sarah Lynn Nutrition	Dietitian, Registered	Current since Apr 12, 2026	Accepting new patients

Locations

5100 W Genesee St
Camillus, NY 13031
Phone (315) 401-0590

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	278962	SC
Registered Dietitian	133V00000X	012676-01	NY	Yes

Addresses

Primary practice location

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

Mailing address

8251 Windsor Hill Blvd Apt 9303
North Charleston, SC 29420-8450
Phone (423) 366-1863

Other providers in North Charleston, SC

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

All providers in North Charleston, SC · Registered Dietitian in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.