Active NPI
Upstate Nutrition Consultants, Inc.
- Registered Dietitian
- Greer, SC
National Provider Identifier
1073995015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 378
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 378 | SC | Primary |
| Registered Dietitian | 133V00000X | 1365 | SC | |
| Registered Dietitian | 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 DirectoryLocations
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.