Active NPI
Jaime Sharp, RD LD
- Registered Dietitian
- Boone, NC
National Provider Identifier
1770908451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1359
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1359 | AL | MD | Chiropractor |
| 1942 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ads Ventures LLC | Dietitian, Registered | Current | 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.