Individual provider Active NPI

Mary Earalyn Walker, RD

  • Registered Dietitian
  • Charleston, SC
National Provider Identifier
1760828974
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
429 Issued in SC
Practice address
109 Bee St
Charleston, SC 29401-5703
Phone
(843) 789-6131
Fax
(843) 805-5973
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 429 SC Primary

Addresses

Primary practice location

109 Bee St
Charleston, SC 29401-5703

Mailing address

127 Towne Square Rd
Summerville, SC 29485-5248
Phone (843) 478-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000357 NC Practitioner - Registered Dietitian Or Nutrition Professional 5890220123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aeroflow Connect LLCGroup PAC ID 0143765008, 4 clinicians

Practice addresses (Care Compare)

500 Ridgefield CT
Asheville, NC 28806-2262
Phone 88834517804504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
429SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Aeroflow Connect LLC Dietitian, Registered CurrentSince Dec 3, 2024 Accepting new patients

Locations

500 Ridgefield Ct
Asheville, NC 28806

3165 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 785-1091

310 Business Pkwy
Ste D
Greer, SC 29651
Phone (828) 631-7724

5 Worth Cir
Ste A
Johnson City, TN 37601
Phone (828) 631-7727

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1760828974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 TOWNE SQUARE RD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855248",
            "telephone_number": "843-478-1471",
            "fax_number": "840-805-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BEE ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294015703",
            "telephone_number": "843-789-6131",
            "fax_number": "843-805-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "EARALYN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "429",
            "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 May 14, 2013; 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.