Active NPI
Madison Kate Mathews, RD, LDN
- Registered Dietitian
- Mount Pleasant, SC
National Provider Identifier
1407658941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LRD.2839.RD
- Practice address
- 656 Coleman Blvd Unit 1101
Mount Pleasant, SC 29464-6010 - Phone
- (815) 641-2896
- NPI assigned
- Mar 25, 2025
- 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 | LRD.2839.RD | SC | Primary |
Addresses
Primary practice location
656 Coleman Blvd Unit 1101
Mount Pleasant, SC 29464-6010
Mailing address
656 Coleman Blvd Unit 1101
Mount Pleasant, SC 29464-6010
Phone (815) 641-2896
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LRD.2839.RD | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1407658941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 COLEMAN BLVD UNIT 1101",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646010",
"telephone_number": "815-641-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "656 COLEMAN BLVD UNIT 1101",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294646010",
"telephone_number": "815-641-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "MADISON",
"middle_name": "KATE",
"name_prefix": "Miss",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-25",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "LRD.2839.RD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.