NPIMap

Organization Active NPI

Palmetto Medical Nutrition

  • Registered Dietitian
  • Aiken, SC
National Provider Identifier
1568879658
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1079 Issued in SC
Legal business name
PALMETTO MEDICAL NUTRITION
Practice address
672 Creekridge Rd
Aiken, SC 29803-8664
Phone
(505) 506-7009
NPI assigned
Jul 21, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Ana Llinas SobrinoNPI 1336564269
Title
Designated Member
Phone
(505) 506-7009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1079 SC Primary

Addresses

Primary practice location

672 Creekridge Rd
Aiken, SC 29803-8664

Mailing address

672 Creekridge Rd
Aiken, SC 29803-8664

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1568879658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 CREEKRIDGE RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 CREEKRIDGE RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298038664",
            "telephone_number": "505-506-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "LLINAS SOBRINO",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "DESIGNATED MEMBER",
        "authorized_official_telephone_number": "505-506-7009"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.