Active NPI
Kenya Powell
- Registered Dietitian
- York, SC
National Provider Identifier
1154780856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 328
- Practice address
- 817 E Liberty St
York, SC 29745-1661 - Phone
- (888) 559-2818
- Fax
- (704) 731-0975
- NPI assigned
- Feb 23, 2016
- 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 | 328 | SC | Primary |
Addresses
Primary practice location
817 E Liberty St
York, SC 29745-1661
Mailing address
2764 Pleasant Rd
#10909
Fort Mill, SC 29708-7299
Phone (888) 559-2818
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1154780856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 PLEASANT RD",
"address_2": "#10909",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087299",
"telephone_number": "888-559-2818",
"fax_number": "704-731-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 E LIBERTY ST",
"city": "YORK",
"state": "SC",
"postal_code": "297451661",
"telephone_number": "888-559-2818",
"fax_number": "704-731-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KENYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.