Rachael Mae Cooper, RD,LD
Individual provider Active NPI Registered Dietitian · Little River, SC
NPI 1679398549 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1679398549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2905 (SC)
- Practice address
- 3465 Sandler Blvd Unit 5208
Little River, SC 29566-6327 - Phone
- (910) 899-8962
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2905 | SC | Yes |
Addresses
Primary practice location
3465 Sandler Blvd Unit 5208
Little River, SC 29566-6327
Mailing address
3465 Sandler Blvd Unit 5208
Little River, SC 29566-6327
Phone (910) 899-8962
Other providers in Little River, SC
- Marc James Comianos
- Conway Hospital, Inc.
- Conway Hospital, Inc.
- Derion Conyers
- Emily C Cooper
- Tyler J Cooperman
- Juan A Cornejo
- Jason Cox
- Michael Dean Cox
- Stephanie Faith Crawford
All providers in Little River, SC · Registered Dietitian in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.