Organization Active NPI

Palmetto Balance Health and Wellness

  • Nutritionist
  • Florence, SC
National Provider Identifier
1679881882
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
PALMETTO BALANCE HEALTH AND WELLNESS
Practice address
1506 2ND Loop Rd Ste a
Florence, SC 29505-2845
Phone
(843) 661-0211
Fax
(843) 661-0213
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Mrs. Dale Cole
Title
Owner/Nutritionist
Phone
(843) 661-0211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1506 2ND Loop Rd Ste a
Florence, SC 29505-2845

Mailing address

1506 2ND Loop Rd Ste a
Florence, SC 29505-2845
Phone (843) 661-0211

National Provider Directory

National Provider Directory

Locations

1506 2nd Loop Rd
Ste A
Florence, SC 29505
Phone (843) 661-0211

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1679881882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 2ND LOOP RD STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052845",
            "telephone_number": "843-661-0211",
            "fax_number": "843-661-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 2ND LOOP RD STE A",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295052845",
            "telephone_number": "843-661-0211",
            "fax_number": "843-661-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BALANCE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER/NUTRITIONIST",
        "authorized_official_telephone_number": "843-661-0211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.