NPIMap

Organization Active NPI

Path of Life Nutrition

  • Registered Dietitian
  • Boone, NC
National Provider Identifier
1972375673
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PATH OF LIFE NUTRITION
Practice address
446 Oak Grove Rd
Boone, NC 28607-7618
Phone
(803) 575-0468
Fax
(803) 728-3224
NPI assigned
Oct 25, 2023
Organization subpart
Yes
Parent organization
PATH OF LIFE NUTRITIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Jeremy Ponds, MS, RDN, LD, IFNCPNPI 1558669358
Title
Owner
Phone
(843) 599-9046

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary
Pediatric Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1004X
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X

Addresses

Primary practice location

446 Oak Grove Rd
Boone, NC 28607-7618

Mailing address

6549 Dorchester St
Columbia, SC 29203-2016
Phone (803) 575-0468

National Provider Directory

National Provider Directory
Tax ID family
Path of Life Nutrition2 organizations share this tax ID, including this one
Part of
Path of Life Nutrition

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

905 Pope St
Newberry, SC 29108
Phone (803) 575-0468

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1972375673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 DORCHESTER ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292032016",
            "telephone_number": "803-575-0468",
            "fax_number": "803-728-3224"
        },
        {
            "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": "803-575-0468",
            "fax_number": "803-728-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH OF LIFE NUTRITION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATH OF LIFE NUTRITION",
        "enumeration_date": "2023-10-25",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "PONDS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-599-9046",
        "authorized_official_credential": "MS, RDN, LD, IFNCP"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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, 2026; 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.