Organization Active NPI

Upstate Nutrition Consultants, Inc.

  • Registered Dietitian
  • Greer, SC
National Provider Identifier
1073995015
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
378 Issued in SC
Legal business name
UPSTATE NUTRITION CONSULTANTS, INC.
Practice address
108 E Poinsett St
Greer, SC 29651-3404
Phone
(864) 915-2640
Fax
(864) 968-9856
NPI assigned
Jun 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Wendy D Watkins, RD, LDN
Title
President & Ceo
Phone
(864) 915-2913

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 378 SC Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1365 SC
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 1372 SC

Addresses

Primary practice location

108 E Poinsett St
Greer, SC 29651-3404

Mailing address

108 E Poinsett St
Greer, SC 29651-3404
Phone (864) 915-2640

National Provider Directory

National Provider Directory

Locations

108 E Poinsett St
Greer, SC 29651
Phone (864) 915-2640

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1073995015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296513404",
            "telephone_number": "864-915-2640",
            "fax_number": "864-968-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296513404",
            "telephone_number": "864-915-2640",
            "fax_number": "864-968-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE NUTRITION CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "864-915-2913",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "378",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1365",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1372",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.