Active NPI
Maria Colchin, RD LDN
- Registered Dietitian
- Lexington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1041
- Practice address
- 147 Vera Rd Ste a
Lexington, SC 29072-3756 - Phone
- (803) 575-0468
- Fax
- (803) 728-3224
- NPI assigned
- Nov 4, 2015
- Last updated
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1041 | KS | Primary |
Addresses
Primary practice location
147 Vera Rd Ste a
Lexington, SC 29072-3756
Mailing address
147 Vera Rd Ste a
Lexington, SC 29072-3756
Phone (803) 575-0468
Other practice location 1
905 Pope St
Newberry, SC 29108-1928
Phone (803) 575-0468
Other practice location 2
446 Oak Grove Rd
Boone, NC 28607-7618
Phone (803) 575-0468
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1041 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path of Life Nutrition | Dietitian, Registered | Current | Accepting new patients |
| Path of Life Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
147 Vera Rd
Ste A
Lexington, SC 29072
Phone (803) 575-0468
905 Pope St
Newberry, SC 29108
Phone (803) 575-0468
Organizations & group practices 2
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": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1205209889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 VERA RD STE A",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723756",
"telephone_number": "803-575-0468",
"fax_number": "803-728-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 VERA RD STE A",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290723756",
"telephone_number": "803-575-0468",
"fax_number": "803-728-3224"
}
],
"practiceLocations": [
{
"address_1": "905 Pope St",
"address_purpose": "LOCATION",
"city": "Newberry",
"state": "SC",
"postal_code": "291081928",
"country_code": "US",
"telephone_number": "803-575-0468",
"fax_number": "803-728-3224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "446 Oak Grove Rd",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286077618",
"country_code": "US",
"telephone_number": "803-575-0468",
"fax_number": "803-728-3224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLCHIN",
"first_name": "MARIA",
"credential": "RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "1041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.