Active NPI
Courtney Collett, MS, RD, LD
- Registered Dietitian
- Bluffton, SC
National Provider Identifier
1346862141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1968
- Practice address
- 34 Wheelhouse Way
Bluffton, SC 29910-4497 - Phone
- (843) 422-6946
- NPI assigned
- May 14, 2020
- 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 | LD005569 | GA | |
| Registered Dietitian | 133V00000X | 1968 | SC | Primary |
Addresses
Primary practice location
34 Wheelhouse Way
Bluffton, SC 29910-4497
Mailing address
34 Wheelhouse Way
Bluffton, SC 29910-4497
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 |
|---|---|---|---|
| LD005569 | GA | MD | Registered Dietitian |
| 1968 | SC | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1346862141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 WHEELHOUSE WAY",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 WHEELHOUSE WAY",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104497",
"telephone_number": "843-422-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETT",
"first_name": "COURTNEY",
"credential": "MS, RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005569",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.