NPI 1659072486 · live from the CMS NPI Registry
Amanda Booth, MS, RD
Dietitian, Registered in Charleston, SC. National Provider Identifier 1659072486, active.
NPI record
| NPI | 1659072486 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-985-1592 |
| Enumerated | March 17, 2023 |
| Last updated | March 17, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.