Active NPI
Leah Jane Repko, MS,RDN
- Registered Dietitian
- Charleston, SC
National Provider Identifier
1700749199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86434375
- Practice address
- 35 Folly Road Blvd Unit 239
Apartment 239
Charleston, SC 29407-8303 - Phone
- (815) 228-6137
- NPI assigned
- Dec 3, 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 | 86434375 | SC | Primary |
Addresses
Primary practice location
35 Folly Road Blvd Unit 239
Apartment 239
Charleston, SC 29407-8303
Mailing address
35 Folly Road Blvd Unit 239
Charleston, SC 29407-8303
Phone (815) 228-6137
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 |
|---|---|---|---|
| 86434375 | 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": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1700749199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 FOLLY ROAD BLVD UNIT 239",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078303",
"telephone_number": "815-228-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 FOLLY ROAD BLVD UNIT 239",
"address_2": "APARTMENT 239",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078303",
"telephone_number": "815-228-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REPKO",
"first_name": "LEAH",
"middle_name": "JANE",
"credential": "MS,RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "86434375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.