Active NPI
Kerri Taylor, RD
- Registered Dietitian
- North Myrtle Beach, SC
National Provider Identifier
1508505124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2443
- Practice address
- 1016 2ND Ave N Ste 206G
North Myrtle Beach, SC 29582-8209 - Phone
- (910) 239-3562
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2443 | SC | Primary |
Addresses
Primary practice location
1016 2ND Ave N Ste 206G
North Myrtle Beach, SC 29582-8209
Mailing address
1133 Medical Center Dr
Wilmington, NC 28401-7304
Phone (910) 239-3562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220627000679 | SC | Practitioner - Registered Dietitian Or Nutrition Professional | 1355720095 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nutrition in Motion
Practice addresses (Care Compare)
1016 2ND Ave N
Suite 206G
North Myrtle Beach, SC 29582-8209
Phone (910) 239-3562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2443 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Current | Accepting new patients |
| Norma J Cortez DDS PA | Past | Accepting new patients |
Locations
1133 Medical Center Dr
Wilmington, NC 28401
Phone (910) 763-0931
1016 2nd Ave N
Ste 206G
North Myrtle Beach, SC 29582
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Wilmington, NC
- NPI 1932562600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1508505124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017304",
"telephone_number": "910-239-3562",
"fax_number": "877-889-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 2ND AVE N STE 206G",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295828209",
"telephone_number": "910-239-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KERRI",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.