Active NPI
Elyse Alexandra Shearer, MS, RD, LD
- Registered Dietitian
- Clinton, SC
National Provider Identifier
1073826137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LRD.846 RD
- Practice address
- 22725 Highway 76 E
Clinton, SC 29325-7527 - Phone
- (864) 833-9369
- NPI assigned
- Jul 19, 2010
- Last updated
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | LRD.846 RD | SC | Primary |
Addresses
Primary practice location
22725 Highway 76 E
Clinton, SC 29325-7527
Mailing address
10 Capewood Rd
Apt. 225
Simpsonville, SC 29680-2701
Phone (716) 523-4326
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LRD.846 RD | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1073826137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CAPEWOOD RD",
"address_2": "APT. 225",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296802701",
"telephone_number": "716-523-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22725 HIGHWAY 76 E",
"city": "CLINTON",
"state": "SC",
"postal_code": "293257527",
"telephone_number": "864-833-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "ELYSE",
"middle_name": "ALEXANDRA",
"name_prefix": "Ms.",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "LRD.846 RD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.