NPI 1801706320 · live from the CMS NPI Registry
Laura Bogue
Dietitian, Registered in Mount Pleasant, SC. National Provider Identifier 1801706320, active.
NPI record
| NPI | 1801706320 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2011 N Highway 17 Unit 1900e, Mount Pleasant, SC 29466 |
| Practice phone | 605-214-0790 |
| Enumerated | September 8, 2026 |
| Last updated | September 8, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3916 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.