Organization Active NPI

Michelle Spearman Nutrition LLC

  • Registered Dietitian
  • Clemson, SC
National Provider Identifier
1700425063
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MICHELLE SPEARMAN NUTRITION LLC
Practice address
407 Old Central Rd Apt 1
Clemson, SC 29631-3137
Phone
(636) 346-1672
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Michelle Marie Spearman, MS, RD, LDN
Title
Owner
Phone
(636) 346-1672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

407 Old Central Rd Apt 1
Clemson, SC 29631-3137

Mailing address

407 Old Central Rd Apt 1
Clemson, SC 29631-3137
Phone (636) 346-1672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1700425063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 OLD CENTRAL RD APT 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296313137",
            "telephone_number": "636-346-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 OLD CENTRAL RD APT 1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296313137",
            "telephone_number": "636-346-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE SPEARMAN NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "SPEARMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-346-1672",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.