Active NPI
Diane C Marcengill, RD
- Registered Dietitian
- Easley, SC
National Provider Identifier
1508962226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- RD716286
- Practice address
- 200 Fleetwood Dr
Easley, SC 29640-2022 - Phone
- (864) 442-7200
- Fax
- (864) 442-7579
- NPI assigned
- Sep 16, 2006
- 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 | RD716286 | SC | Primary |
Addresses
Primary practice location
200 Fleetwood Dr
Easley, SC 29640-2022
Mailing address
PO Box 651466
Charlotte, NC 28265-1466
Phone (864) 442-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RD716286 | Other | SC | LICENSE # |
| 582296052504 | Other | SC | HOSPITAL TAX ID # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RD716286 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1508962226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 651466",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282651466",
"telephone_number": "864-442-7200",
"fax_number": "864-442-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FLEETWOOD DR",
"city": "EASLEY",
"state": "SC",
"postal_code": "296402022",
"telephone_number": "864-442-7200",
"fax_number": "864-442-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCENGILL",
"first_name": "DIANE",
"middle_name": "C",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "RD716286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "RD716286",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOSPITAL TAX ID #",
"identifier": "582296052504",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.