Active NPI
Carol Patricia Peirce, MS, RD, LD/N
- Registered Dietitian
- Port Saint Lucie, FL
National Provider Identifier
1154433647
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Dec 20, 2009.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 133VOOOOOX
- Practice address
- 4015 SW Melbourne St
Port Saint Lucie, FL 34953-5955 - Phone
- (772) 879-6168
- Fax
- (772) 879-2326
- NPI assigned
- Aug 31, 2006
- 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 | 133VOOOOOX | FL | Primary |
Addresses
Primary practice location
4015 SW Melbourne St
Port Saint Lucie, FL 34953-5955
Mailing address
4015 SW Melbourne St
Port Saint Lucie, FL 34953-5955
Phone (772) 879-6168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644547 | Other | FL | AMERICAN DIETETIC ASSOCIA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133VOOOOOX | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154433647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 SW MELBOURNE ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349535955",
"telephone_number": "772-879-6168",
"fax_number": "772-879-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 SW MELBOURNE ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349535955",
"telephone_number": "772-879-6168",
"fax_number": "772-879-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIRCE",
"first_name": "CAROL",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "MS, RD, LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "133VOOOOOX",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETETIC ASSOCIA",
"identifier": "644547",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.