Nicole McKenzie Preder, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

555 E Cheves St
Florence, SC 29506-2617

Phone

(920) 207-7168

NPI assigned

Jun 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1437776267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 FREEDOM BLVD APT A2",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056175",
            "telephone_number": "920-207-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "920-207-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDER",
        "first_name": "NICOLE",
        "middle_name": "MCKENZIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86091928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay S Powell, PA
• Larena E Powers, COTA
• Martin Francis Powers Jr., CRNA
• Practical Purpose Solutions LLC
• Praxair Healthcare Services, Inc
• Presbyterian Agency for the Developmentally Disabled Inc
• Presbyterian Communities of South Carolina (Presbyterian Home of SC - Florence)
• Andrew Lee Press, M.D.
• Aphrodite Pressley, RN
• Garnetta Pressley

• Registered Dietitian in Florence, SC
• Providers in Florence, 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 Jul 7, 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.

Verify at the official NPI Registry.