Individual provider Active NPI

Farrah Wigand, RDN, LD, CSOWM

  • Registered Dietitian
  • Lexington, SC
National Provider Identifier
1326427659
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
932508
Practice address
140 Royal Creek Dr
Lexington, SC 29072-8237
Phone
(803) 814-4218
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 164 SC
Registered Dietitian 133V00000X 932508 Primary

Addresses

Primary practice location

140 Royal Creek Dr
Lexington, SC 29072-8237

Mailing address

140 Royal Creek Dr
Lexington, SC 29072-8237
Phone (502) 438-6041

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

LicenseStateTypeSpecialty
164SCMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1326427659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ROYAL CREEK DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728237",
            "telephone_number": "502-438-6041",
            "fax_number": "803-520-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ROYAL CREEK DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290728237",
            "telephone_number": "803-814-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGAND",
        "first_name": "FARRAH",
        "credential": "RDN, LD, CSOWM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "164",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "932508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.