Organization Active NPI

Authentic Nutrition of Charleston

Doing business as Authentic Nutrition

  • Registered Dietitian
  • Mount Pleasant, SC
National Provider Identifier
1306479134
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
AUTHENTIC NUTRITION OF CHARLESTON
Doing business as
Authentic Nutrition
Practice address
3003 Dunes West Blvd
Mount Pleasant, SC 29466-8001
Phone
(865) 207-4676
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Leah Schumacher, RDN
Title
Proprietor
Phone
(865) 207-4676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

3003 Dunes West Blvd
Mount Pleasant, SC 29466-8001

Mailing address

1579 Old Rivers Gate Rd
Mount Pleasant, SC 29466-7567
Phone (865) 207-4676

Other names 1

  • Authentic Nutrition Doing business as

National Provider Directory

National Provider Directory

Locations

3003 Dunes West Blvd
Mt Pleasant, SC 29466
Phone (843) 606-0306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1306479134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 OLD RIVERS GATE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667567",
            "telephone_number": "865-207-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 DUNES WEST BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668001",
            "telephone_number": "865-207-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC NUTRITION OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "865-207-4676",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Authentic Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.