Active NPI
Tracey Mitchell Pesce, RD, LDN
- Registered Dietitian
- Lancaster, SC
National Provider Identifier
1043506587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 813484
- Practice address
- 509 Hubbard Drive
Lancaster, SC 29720 - Phone
- (803) 313-7450
- Fax
- (803) 313-7194
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 813484 | SC | Primary |
Addresses
Primary practice location
509 Hubbard Drive
Lancaster, SC 29720
Mailing address
PO Box 889
Lancaster, SC 29721
Phone (803) 313-7450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 813484 | SC | MD | Registered Dietitian |
| 808 | SC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Carolina System | Past | Accepting new patients | |
| University of South Carolina System | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Lancaster, SC
- NPI 1184673675
-
- Physical Therapist
- Lancaster, SC
- NPI 1265498166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1043506587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 889",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29721",
"telephone_number": "803-313-7450",
"fax_number": "803-313-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 HUBBARD DRIVE",
"city": "LANCASTER",
"state": "SC",
"postal_code": "29720",
"telephone_number": "803-313-7450",
"fax_number": "803-313-7194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESCE",
"first_name": "TRACEY",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "813484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
- Willman Steve Pearcey Jr., DPM
- Brandon Scot Percival, D.P.M.
- Julie Welsh Percival, D.P.M.
- Perfert Choice Medical Wigs
- Anne Margaret Perry, APRN, FNP-BC
- Courtney Phillips, ARPN
- Kevin John Phillips
- Piedmont Carolinas Radiation Therapy LLC
- Piedmont Interventional Spine and Pain Center, LLC
- Piedmont Pharmacy Asscociates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.