Active NPI
Emily Kathleen Wise, RD, LD
- Registered Dietitian
- Florence, SC
National Provider Identifier
1770722183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 672
- Practice address
- 805 Pamplico Hwy
Florence, SC 29505-6019 - Phone
- (843) 674-2051
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 672 | SC | Primary |
Addresses
Primary practice location
805 Pamplico Hwy
Florence, SC 29505-6019
Mailing address
PO Box 100550
Florence, SC 29502-0550
Phone (843) 674-2051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672 | SC | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Mochi Medical Ca PC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Internal Medicine Physician
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- NPI 1528744935
-
- Obesity Medicine (Family Medicine) Physician
- San Francisco, CA
- NPI 1174303374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1770722183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100550",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295020550",
"telephone_number": "843-674-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PAMPLICO HWY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056019",
"telephone_number": "843-674-2051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "EMILY",
"middle_name": "KATHLEEN",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "672",
"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 Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.