Nancy Jo Weber, MBA, RD, CDE, CSR, L

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

LD001180 Issued in GA

Practice address

11945 Grandhaven Drive
Suite G
Murrells Inlet, SC 29576

Phone

(843) 839-9088

Fax

(888) 909-5897

NPI assigned

Jul 24, 2006

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• Healing Lifestyle Center, Inc

  • Registered Dietitian
  • Murrells Inlet, SC
  • NPI 1851777866
  Authorized official Same address or phone
• Nancy Weber Inc

  dba MNT Consultants

  • Renal Nutrition Registered Dietitian
  • Murrells Inlet, SC
  • NPI 1437178613
  Authorized official Same address or phone
• Telenutrition Therapy

  • Registered Dietitian
  • Surfside Beach, SC
  • NPI 1790107951
  NPD (past) Authorized official
• Telenutrition Therapy Inc

  • Registered Dietitian
  • Augusta, GA
  • NPI 1417260407
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1740202936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AUBURN LANE",
            "address_2": "24H",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "29575",
            "telephone_number": "843-839-9088",
            "fax_number": "888-909-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DRIVE",
            "address_2": "SUITE G",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-839-9088",
            "fax_number": "888-909-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "NANCY",
        "middle_name": "JO",
        "credential": "MBA, RD, CDE, CSR, L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD001180",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "SC",
            "license": "R605535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LICENSE",
            "identifier": "179",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walser Inc. D/B/a Avada Hearing Center
• Walton Drive Dental Health Clinic, PC (Pearl Dentistry)
• Elizabeth Waterstradt, COTA/L
• Andrew Watkins
• Mary Ashley Watts, PHARM D
• Angela Keesley Welchel
• Jacob Welker Dakota Welker
• William K Whiteside, MD
• Caleb Sims Whitney, ATC
• Amy R Wielkopolan, LMBT

• Renal Nutrition Registered Dietitian in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Renal Nutrition Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.