Active NPI
Geraldine Zatcoff, MS, MSED, CNS
- Nutritionist
- Mount Pleasant, SC
National Provider Identifier
1417496084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- CNS10129
- Practice address
- 1391 Madison CT
Mount Pleasant, SC 29466-7961 - Phone
- (203) 913-1338
- NPI assigned
- Feb 15, 2017
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | CNS10129 | CT | Primary |
| Nutrition Education Nutritionist | 133NN1002X | CNS10129 | CT |
Addresses
Primary practice location
1391 Madison CT
Mount Pleasant, SC 29466-7961
Mailing address
1391 Madison CT
Mount Pleasant, SC 29466-7961
Phone (203) 913-1338
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
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNS10129 | CT | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1417496084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 MADISON CT",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667961",
"telephone_number": "203-913-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1391 MADISON CT",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667961",
"telephone_number": "203-913-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZATCOFF",
"first_name": "GERALDINE",
"name_prefix": "Miss",
"credential": "MS, MSED, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CT",
"license": "CNS10129",
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CT",
"license": "CNS10129",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.