NPI 1194544692 · live from the CMS NPI Registry
Grace Rebecca Anderson, RN
Dietitian, Registered in North Charleston, SC. National Provider Identifier 1194544692, active.
NPI record
| NPI | 1194544692 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 8251 Windsor Hill Blvd Apt 9303, North Charleston, SC 29420 |
| Practice phone | 423-366-1863 |
| Enumerated | October 10, 2024 |
| Last updated | August 30, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 278962 (SC) |
| Dietitian, Registered primary | 133V00000X | 012676-01 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.