Amy Ruth Jeffcoat, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86029802 Issued in NU

Practice address

5774 Campbell Rd
York, SC 29745-9617

Phone

(803) 818-7468

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1407490634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5774 CAMPBELL RD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 CAMPBELL RD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297459617",
            "telephone_number": "803-818-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOAT",
        "first_name": "AMY",
        "middle_name": "RUTH",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86029802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "5774 Campbell Rd",
            "city": "York",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297459617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johanna B. Jackson, S.S.P.
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• Aleque Stegall James, O.D.
• Jax & Rae Optometric (Gary Eye Associates)
• JBM LLC (Yorkville Pharmacy)
• Alfred Casburn Johnson Jr., DDS
• Kimberly Johnson
• Jasmin Corvette Jones, MA
• Ashley Jumper, PHARMD
• Laren C Keene, RN

• Registered Dietitian in York, SC
• Providers in York, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.