Organization Active NPI

Palmetto Nutrition Consultants

  • Registered Dietitian
  • Simpsonville, SC
National Provider Identifier
1710584982
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
PALMETTO NUTRITION CONSULTANTS
Practice address
125 Sedgebrook Dr
Simpsonville, SC 29681-3541
Phone
(864) 350-8855
NPI assigned
Oct 1, 2020
Last updated
Aug 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Rebecca Hicklin, RDNPI 1679180087
Title
Registered Dietitian
Phone
(864) 350-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

125 Sedgebrook Dr
Simpsonville, SC 29681-3541

Mailing address

125 Sedgebrook Dr
Simpsonville, SC 29681-3541
Phone (864) 350-8855

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Rebecca@palmettonutrition.com Direct Palmetto Nutrition Consultants

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1710584982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SEDGEBROOK DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813541",
            "telephone_number": "864-350-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SEDGEBROOK DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813541",
            "telephone_number": "864-350-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO NUTRITION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKLIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "864-350-8885",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rebecca@palmettonutrition.com",
            "affiliation": "Y",
            "endpointDescription": "Business email",
            "affiliationName": "Palmetto Nutrition Consultants",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business email",
            "address_1": "125 Sedgebrook Dr",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296813541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.