Organization Active NPI

Upbeet Nutrition LLC

  • Registered Dietitian
  • Mt Pleasant, SC
National Provider Identifier
1831716919
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
UPBEET NUTRITION LLC
Practice address
1129 Shady Grove LN
Mt Pleasant, SC 29464-9016
Phone
(803) 374-3021
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Alice Gray Deloache Tollison, MS, RD, LDN
Title
Registered Dietitian/Owner
Phone
(803) 374-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1129 Shady Grove LN
Mt Pleasant, SC 29464-9016

Mailing address

1129 Shady Grove LN
Mt Pleasant, SC 29464-9016
Phone (803) 374-3021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1831716919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 SHADY GROVE LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294649016",
            "telephone_number": "803-374-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 SHADY GROVE LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294649016",
            "telephone_number": "803-374-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPBEET NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "TOLLISON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "GRAY DELOACHE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN/OWNER",
        "authorized_official_telephone_number": "803-374-3021",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.