Active NPI
Carrie Gentry, RDN, LD
- Registered Dietitian
- North Charleston, SC
National Provider Identifier
1639947773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 587
- Practice address
- 6450 Rivers Ave
North Charleston, SC 29406-4882 - Phone
- (843) 818-5100
- NPI assigned
- Dec 18, 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 | 587 | SC | Primary |
Addresses
Primary practice location
6450 Rivers Ave
North Charleston, SC 29406-4882
Mailing address
22 Eton Rd
Charleston, SC 29407-3309
Phone (864) 506-0121
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | 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": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1639947773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ETON RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294073309",
"telephone_number": "864-506-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064882",
"telephone_number": "843-818-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "CARRIE",
"name_prefix": "Mrs.",
"credential": "RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.