Path Of Life Nutrition
Dietitian, Registered in Boone, NC. Organization (NPI-2).
NPI number1972375673
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1972375673
- Entity type
- Organization (NPI-2)
- Legal business name
- Path Of Life Nutrition
- Organization subpart
- Yes
- Enumeration date
- Oct 25, 2023
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
| 133N00000X | Nutritionist | – | – | |
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | – | – | |
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | – | – | |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | – | – | |
| 163WD0400X | Registered Nurse, Diabetes Educator | – | – |
Practice location
446 Oak Grove RdBoone, NC 28607-7618
Phone 803-575-0468 · Fax 803-728-3224
Mailing address
6549 Dorchester StColumbia, SC 29203-2016
Phone 803-575-0468 · Fax 803-728-3224
Authorized official
Jeremy Ponds
Owner
8435999046
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