Grace Rebecca Anderson, RN
NPI 1194544692ActiveIndividual· Dietitian, Registered· North Charleston, SC
Dietitian, Registered (RN) in North Charleston, South Carolina, licensed in NY and SC, with an NPI issued in October 2024. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1194544692 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | Yes |
| NPI issued | Oct 10, 2024 |
| Last updated in NPPES | Aug 30, 2025 |
| Certified by provider | Aug 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 012676-01 | NY |
| Registered Nurse | 163W00000X | 278962 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (NY) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
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