Active NPI
Alexis Kiefer, MS, RDN, LD
- Registered Dietitian
- Moncks Corner, SC
National Provider Identifier
1316710486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2783
- Practice address
- 3508 S Live Oak Dr
Moncks Corner, SC 29461-8737 - Phone
- (843) 958-2590
- Fax
- (843) 606-7996
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 2783 | SC | Primary |
Addresses
Primary practice location
3508 S Live Oak Dr
Moncks Corner, SC 29461-8737
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (437) 891-6208
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients | |
| Everfit Inc | Dietitian, Registered | Past | Accepting new patients |
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Locations
3508 S Live Oak Dr
Moncks Corner, SC 29461
Phone (843) 534-1770
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Organizations & group practices 9
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Surgery Physician
- Charleston, SC
- NPI 1245540277
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Neurology Physician
- Rochester, MI
- NPI 1366565442
-
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1316710486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "437-891-6208",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 S LIVE OAK DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618737",
"telephone_number": "843-958-2590",
"fax_number": "843-606-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFER",
"first_name": "ALEXIS",
"credential": "MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.