Active NPI
Mary Beth Lemon, RD, LDN
- Registered Dietitian
- Lancaster, SC
National Provider Identifier
1285041947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 308
- Practice address
- 1833 Pageland Hwy
Lancaster, SC 29720-7606 - Phone
- (803) 285-7628
- Fax
- (803) 286-5418
- NPI assigned
- Jul 15, 2014
- Last updated
- Nov 10, 2014
- 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 | 308 | SC | Primary |
Addresses
Primary practice location
1833 Pageland Hwy
Lancaster, SC 29720-7606
Mailing address
5023 Revelation Way
Monroe, NC 28110-7894
Phone (704) 517-9056
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 |
|---|---|---|---|
| 308 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1285041947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5023 REVELATION WAY",
"city": "MONROE",
"state": "NC",
"postal_code": "281107894",
"telephone_number": "704-517-9056",
"fax_number": "803-286-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 PAGELAND HWY",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297207606",
"telephone_number": "803-285-7628",
"fax_number": "803-286-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMON",
"first_name": "MARY BETH",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.