Active NPI
Mallory Sanford, MS, RD
- Registered Dietitian
- Mount Pleasant, SC
National Provider Identifier
1649085929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2266
- Practice address
- 3003 Dunes West Blvd Ste 40
Mount Pleasant, SC 29466-8001 - Phone
- (205) 246-5040
- NPI assigned
- Feb 12, 2025
- Last updated
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 2266 | SC | Primary |
Addresses
Primary practice location
3003 Dunes West Blvd Ste 40
Mount Pleasant, SC 29466-8001
Mailing address
3003 Dunes West Blvd Ste 40
Mount Pleasant, SC 29466-8001
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2266 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1649085929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 DUNES WEST BLVD STE 40",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294668001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 DUNES WEST BLVD STE 40",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294668001",
"telephone_number": "205-246-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "MALLORY",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
- Sandpiper Home Health
- Sandpiper Home Health Services, LLC
- Sandpiper Independent & Assisted Living, LLC (Sandpiper Courtyard Assisted Living)
- Sandpiper Rehab and Nursing - Delaware, LLC (Sandpiper Rehab and Nursing)
- Sandra Nelson LLC
- Joshua P Sansbury, ATC
- Gregory Santamaria, DPM
- Francis Alfred Santangelo Jr., PT
- Rica Santiago, M.D
- Lawrence Sarner, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.