Mackenzie Leslie Harrell, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2503 Issued in SC

Practice address

10 Resolute LN Ste 204
Mt Pleasant, SC 29464-6687

Phone

(803) 814-5392

Fax

(888) 965-1379

NPI assigned

Aug 31, 2022

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

Electronic endpoints 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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1578283362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RESOLUTE LN STE 204",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646687",
            "telephone_number": "803-814-5392",
            "fax_number": "888-965-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RESOLUTE LN STE 204",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294646687",
            "telephone_number": "803-814-5392",
            "fax_number": "888-965-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "MACKENZIE",
        "middle_name": "LESLIE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://my.practicebetter.io/#/p/home?q=",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Resolute Ln Ste 204",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294646687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marc Scott Haro, MD
• Chelsey Harper, OTR/L
• Frank Edward Harper, MD
• Harrell Counseling LLC
• Jeanne Harrell, LPC
• Amanda Thurber Harridge, PA-C
• Gloria Jean Harrington, D.C.
• William Joseph Harrington, D.C.
• Harris Teeter LLC
• Harris Teeter, LLC

• Registered Dietitian in Mt Pleasant, SC
• Providers in Mt Pleasant, 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 Aug 31, 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.