Magnolia Umali Russell, RDN,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2353 Issued in SC

Practice address

597 Lytham Dr
Aiken, SC 29801-1183

Phone

(814) 248-6768

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1760191654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 LYTHAM DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298011183",
            "telephone_number": "814-248-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 LYTHAM DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298011183",
            "telephone_number": "814-248-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "MAGNOLIA",
        "middle_name": "UMALI",
        "name_prefix": "Mrs.",
        "credential": "RDN,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005992",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russell-magnolia@aramark.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "597 Lytham Dr",
            "city": "Aiken",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298011183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rural Health Services, Inc.
• Rural Health Services, Inc.
• Katlyn Rush, DPT
• Ariel Russell
• Emily Jane Russell, PHARMD
• Lynn Rutland-Addy, LPC
• RWW Home & Community Rehab Services, Inc.
• Patricia Ryan, LISW
• Rachel Moulton Ryan, LPC
• S & H Eye Care, LLC

• Registered Dietitian in Aiken, SC
• Providers in Aiken, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.