Active NPI
Sarah Wax, MS, RD, LDN
- Registered Dietitian
- Columbia, SC
National Provider Identifier
1205292083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L004808
- Practice address
- 4500 Stuart St
Columbia, SC 29207 - Phone
- (803) 751-2469
- NPI assigned
- Jan 8, 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 | L004808 | NC | Primary |
Addresses
Primary practice location
4500 Stuart St
Columbia, SC 29207
Mailing address
602 S Bonham Rd
Columbia, SC 29205-4013
Phone (252) 558-3039
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 |
|---|---|---|---|
| L004808 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1205292083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 S BONHAM RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292054013",
"telephone_number": "252-558-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 STUART ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29207",
"telephone_number": "803-751-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAX",
"first_name": "SARAH",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-08",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.