Organization Active NPI

Embrace Body Fitness & Nutrition LLC

  • Nutritionist
  • North Augusta, SC
National Provider Identifier
1912875568
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
EMBRACE BODY FITNESS & NUTRITION LLC
Practice address
1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306
Phone
(803) 341-8343
NPI assigned
Oct 27, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Shakyra Tatyana MartinNPI 1366014854
Title
Owner
Phone
(803) 341-8329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
KinesiotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 226300000X

Addresses

Primary practice location

1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306

Mailing address

1799 Edgefield Rd Ste a
North Augusta, SC 29860-5306
Phone (803) 341-8343

National Provider Directory

National Provider Directory

Locations

1799 Edgefield Rd
Ste A
North Augusta, SC 29860
Phone (803) 341-8343

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1912875568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 EDGEFIELD RD STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298605306",
            "telephone_number": "803-341-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 EDGEFIELD RD STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298605306",
            "telephone_number": "803-341-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE BODY FITNESS & NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHAKYRA",
        "authorized_official_middle_name": "TATYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-341-8329"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.