Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jane Condell, RD, LD

Individual provider Registered Dietitian · NPI 1265202543

Mary Jane Condell, RD, LD is a Registered Dietitian OR Nutrition Professional in Ravenel, South Carolina. Qualified in 2007, 19 years ago. Practices with Nourish, Inc, a 277-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
19
Licensed in
SC
In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

219 Summer Tanager Dr
Ravenel, SC 29470-9672
Phone: (804) 239-2811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD1557 (SC)

Record details

NPI number1265202543
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Nourish, Inc. — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ravenel