Roberta O'Connor Jupp, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

131 Issued in SC

Practice address

147 Vera Rd Ste E
Lexington, SC 29072-3756

Phone

(803) 399-0212

Fax

(803) 728-3224

NPI assigned

Mar 15, 2007

Last updated

Apr 26, 2023By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Path of Life NutritionGroup PAC ID 4082960703, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjupp55860@direct.lexmed.com

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.

• Path of Life Nutrition

  • Registered Dietitian
  • Lexington, SC
  • NPI 1245610534

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Lexington Health Inc

  dba Lexington Orthopaedic and Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  Dietitian, Registered, SC

  Medicare reassignment NPD
• Lexington Health Inc

  dba Sandhills Family Medicine

  • Family Medicine Physician
  • Lexington, SC
  • NPI 1821696030
  NPD
• Lexington Health Inc

  dba Lexington Internal Medicine

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD
• Path of Life Nutrition

  • Registered Dietitian
  • Boone, NC
  • NPI 1972375673

  Dietitian, Registered

  NPD
• Albany ENT & Allergy Services PC

  • Otolaryngology Physician
  • Albany, NY
  • NPI 1205838729
  NPD (past)
• Openloop Healthcare Partners California PC

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1598418063
  NPD (past)
• Openloop Healthcare Partners New Jersey PC

  • General Practice Physician
  • Jersey City, NJ
  • NPI 1588335152

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1659405512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 ELLIPTIC GREEN LN",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737057",
            "telephone_number": "803-622-9104",
            "fax_number": "803-728-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 VERA RD STE E",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723756",
            "telephone_number": "803-399-0212",
            "fax_number": "803-728-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 E Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Batesburg Leesville",
            "state": "SC",
            "postal_code": "290709285",
            "country_code": "US",
            "telephone_number": "803-604-0066",
            "fax_number": "803-604-9924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Pope St",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291081928",
            "country_code": "US",
            "telephone_number": "803-399-0212",
            "fax_number": "803-728-3224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694810",
            "country_code": "US",
            "telephone_number": "803-935-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUPP",
        "first_name": "ROBERTA",
        "middle_name": "O'CONNOR",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "726464",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DPE012",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjupp55860@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2720 Sunset Blvd",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joy in the Journey, LLC
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• JT Legacy, LLC (Home Helpers-Direct Link)
• Julie Collinschiropractic LLC
• Abigail Justus, PHARMD
• Elizabeth A. Kadar, NP-C
• Kadi Medical Services
• Camryn Taylor Kambeitz
• Kunal D Kanitkar, M.D.

• Registered Dietitian in Lexington, SC
• Providers in Lexington, 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 Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.