Nutrition Support Specialty Care

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NUTRITION SUPPORT SPECIALTY CARE

Practice address

1221 Hidden Lakes Dr
Mount Pleasant, SC 29464-9467

Phone

(843) 872-2090

Fax

(866) 421-3337

NPI assigned

Sep 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Berry, MS, RD, LD

Title

Owner

Phone

(434) 996-0507

Specialties & licenses 1

Addresses

Other names 1

• Enteral Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen M. K. Quisenberry, RD, LD, CNSC

  • Registered Dietitian
  • Mt Pleasant, SC
  • NPI 1780389403

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1053035899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HIDDEN LAKES DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649467",
            "telephone_number": "434-996-0507",
            "fax_number": "866-421-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HIDDEN LAKES DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649467",
            "telephone_number": "843-872-2090",
            "fax_number": "866-421-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Sanctuary Lane",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "22963",
            "country_code": "US",
            "telephone_number": "843-872-2090",
            "fax_number": "866-421-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NUTRITION SUPPORT SPECIALTY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-996-0507",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enteral",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enteral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Novakovich, DPT
• Novant Health Southeastern Spine Institute, LLC
• Nra-Mt. Pleasant, South Carolina, LLC
• Priscilla Nugent, PT
• Nurture and Nourish Services
• Jill Aline O'Brien, APRN, FNP-C
• Michael O'Brien
• Kerry O'Connor
• David G O'Day, MD
• Diana Luz O'Donnell, LISW-CP

• Registered Dietitian in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.