Anna Bauerle, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86107165 Issued in SC

Practice address

104 Spring St Apt C11
Charleston, SC 29403-5356

Phone

(843) 446-8739

NPI assigned

Nov 28, 2020

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2020.

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1972107142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SPRING ST APT C11",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035356",
            "telephone_number": "843-446-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SPRING ST APT C11",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035356",
            "telephone_number": "843-446-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERLE",
        "first_name": "ANNA",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "86107165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Irene Bauer, MD
• Kyle R Bauer, M.D.
• Matthew J. Bauer, CRNA
• Brian Lloyd Bauerband, M.D.
• Meredith Barb Bauerband, PA-C
• Bryce Baugh, MD
• Kristen Bauk
• Daniel Luke Bauknight, MD
• Nicholas Bautz, DMD
• Margaret Ellen Baxley, PA-C

• All providers in Charleston, SC
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.