Susan Anne Mills Tucker, RD LD CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

470 Issued in SC

Practice address

719 Okatie Hwy # 170
Okatie, SC 29909-3963

Phone

(843) 987-7400

Fax

(843) 987-7498

NPI assigned

Sep 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaufort Jasper Hampton Comprehensive Health Services IncGroup PAC ID 5597675728, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148
  Medicare reassignment Care Compare group
• Carolina Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newberry, SC
  • NPI 1669166054
  NPD (past)

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1366723199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N OKATIE HWY # 170",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368276",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OKATIE HWY # 170",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093963",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS TUCKER",
        "first_name": "SUSAN",
        "middle_name": "ANNE",
        "credential": "RD LD CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph B McShea, DO
• Edward Leonard Meyerink III
• Kathleen Edith Meyers, LMSW
• Bari J Miller, OD
• Natalie D Miller, PA
• Moore Medical
• Nadine Rose Morris, OT
• Barbara Jean Moschitta, MPS RD CDN
• MPPG, Inc.
• MPPG, Inc.

• Registered Dietitian in Okatie, SC
• Providers in Okatie, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.