KARI BOLT, CDR — NPI 1174713119 (Licensed & Credentialed Dietary & Nutritional Service Providers

CMS-1500 Box 24J / 33a • NPI

1174713119

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133V00000X (CMS 71)

Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered

Box 32 Service Location & ZIP+4

3655 MITCHELL ST, LORIS, SC, 29569-2827

✓ 9-Digit EDI 837 ZIP+4 (29569-2827)

Practice Phone & Referral Fax

(843) 716-7000

Fax: (843) 716-7093

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1174713119 (KARI BOLT, CDR) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1174713119` (NPI-1 Individual Practitioner)
Provider / Legal Name	KARI BOLT, CDR
Plain-English Specialty	Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: `133V00000X` (Dietitian, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3655 MITCHELL ST, LORIS, SC, 29569-2827
Practice Telephone / Fax	Tel: (843) 716-7000 \| Fax: (843) 716-7093
Administrative Mailing Address	3655 MITCHELL ST, LORIS, SC, 29569-9601
Enumeration & Last Sync	Enumerated: 2007-07-26 \| CMS Record Updated: 2007-07-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3655 MITCHELL ST, LORIS, SC, 29569-2827

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Plain-English Taxonomy & CMS Crosswalk (133V00000X)

What Does Taxonomy Code 133V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 71 (Registered Dietitian or Nutrition Professional)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dietitian, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KARI BOLT, CDR)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: SC \| License: `85001954` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KARI BOLT, CDR (NPI #1174713119)