Active NPI
Palmetto Nutrition Consultants
- Registered Dietitian
- Simpsonville, SC
National Provider Identifier
1710584982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Hicklin, RD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rebecca@palmettonutrition.com | Direct | Palmetto Nutrition Consultants |
National Provider Directory
National Provider DirectoryPractitioners & 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.