Nutrition Iam LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

NUTRITION IAM LLC

Practice address

417 S Jeffords St
Florence, SC 29506-3129

Phone

(706) 627-5864

NPI assigned

May 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Iris Abigial McDuffie, RDN

Title

Registered Dietitian Nutritionist

Phone

(706) 627-5864

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1578201950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S JEFFORDS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295063129",
            "telephone_number": "706-627-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S JEFFORDS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295063129",
            "telephone_number": "706-627-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION IAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "MCDUFFIE",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "ABIGIAL",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "706-627-5864",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT1134",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Norton, LPN
• Christie Nowlin
• Jeffrey Nowlin
• Nu-Start & Associates
• Nursesunlimited
• Amadi Ezego Nwankudu
• Barnett Edward O'Dell, MD
• Jason B O'Dell, MD
• James Kevin O'Kelly, MD
• Peter P O'Kelly, MD

• Renal Nutrition Registered Dietitian in Florence, SC
• Providers in Florence, SC by specialty
• Renal Nutrition Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.