Mary Jane Condell, RD, LD
NPI 1265202543ActiveIndividual· Dietitian, Registered· Ravenel, SC
Dietitian, Registered (RD, LD) with Nourish Inc, practicing in Ravenel, South Carolina. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1265202543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, LD |
| Sole proprietor | Yes |
| NPI issued | Jan 8, 2024 |
| Last updated in NPPES | Jan 8, 2024 |
| Certified by provider | Jan 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LD1557 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical group
- Nourish IncAustin, TX · 300 clinicians
Other Dietitian, Registered providers in Ravenel
- 1902602246