Gentle Gi Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GENTLE GI NUTRITION

Practice address

1579 Old Rivers Gate Rd
Mount Pleasant, SC 29466-7567

Phone

(865) 207-4676

NPI assigned

Feb 15, 2025

Organization subpart

No

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

Authorized official

Name

Leah Kittle, RDNPI 1013549732

Title

Owner

Phone

(865) 207-4676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

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.

• Leah Kittle, RDN

  • Registered Dietitian
  • Mount Pleasant, SC
  • NPI 1013549732

  Dietitian, Registered, TN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1437954302",
    "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": "1579 OLD RIVERS GATE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667567",
            "telephone_number": "865-207-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE GI NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "KITTLE",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-207-4676",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.