Active NPI
Authentic Nutrition of Charleston
Doing business as Authentic Nutrition
- Registered Dietitian
- Mount Pleasant, SC
National Provider Identifier
1306479134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.