Individual provider Active NPI

Jaime Sharp, RD LD

  • Registered Dietitian
  • Boone, NC
National Provider Identifier
1770908451
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1359 Issued in AL
Practice address
446 Oak Grove Rd
Boone, NC 28607-7618
Phone
(334) 790-3680
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 1359 AL Primary

Addresses

Primary practice location

446 Oak Grove Rd
Boone, NC 28607-7618

Mailing address

446 Oak Grove Rd
Boone, NC 28607-7618
Phone (334) 790-3680

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1359ALMDChiropractor
1942SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ads Ventures LLC Dietitian, Registered CurrentSince Oct 28, 2024 Accepting new patients
Path of Life Nutrition Dietitian, Registered Past Accepting new patients

Locations

147 Vera Rd
Ste A
Lexington, SC 29072
Phone (803) 575-0468

Organizations & group practices 2

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1770908451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 OAK GROVE RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077618",
            "telephone_number": "334-790-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 OAK GROVE RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077618",
            "telephone_number": "334-790-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "1359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.