Active NPI
Crystal C Cates, R.D.
- Registered Dietitian
- Myrtle Beach, SC
National Provider Identifier
1346419389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2200 Crow LN
Myrtle Beach, SC 29577-1663 - Phone
- (843) 848-5300
- Fax
- (843) 848-5345
- NPI assigned
- Feb 25, 2008
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary | |
| Registered Dietitian | 133V00000X | 234 | SC |
Addresses
Primary practice location
2200 Crow LN
Myrtle Beach, SC 29577-1663
Mailing address
973 Refuge Way
Murrells Inlet, SC 29576-7436
Phone (843) 610-0342
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234 | SC | MD | Gerontology Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates, LLC | Current | Accepting new patients |
Locations
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tidelands Health Family Medicine
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1235475930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1346419389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 REFUGE WAY",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295767436",
"telephone_number": "843-610-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CROW LN",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295771663",
"telephone_number": "843-848-5300",
"fax_number": "843-848-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATES",
"first_name": "CRYSTAL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "234",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.