Kristen M. K. Quisenberry, RD, LD, CNSC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

377 Issued in SC

Practice address

1221 Hidden Lakes Dr
Mt Pleasant, SC 29464-9467

Phone

(843) 872-2090

Fax

(866) 421-3337

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nutrition Support Specialty Care

  • Registered Dietitian
  • Mount Pleasant, SC
  • NPI 1053035899

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1780389403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 SCOTTS CREEK CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644769",
            "telephone_number": "843-670-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HIDDEN LAKES DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294649467",
            "telephone_number": "843-872-2090",
            "fax_number": "866-421-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 SANCTUARY LANE",
            "address_purpose": "LOCATION",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "22963",
            "country_code": "US",
            "telephone_number": "843-872-2090",
            "fax_number": "866-421-3337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUISENBERRY",
        "first_name": "KRISTEN",
        "middle_name": "M. K.",
        "credential": "RD, LD, CNSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Noel Putnam, PHARMD
• Amanda Bergdorf Pyrda, APRN
• Kelly Quarles, M.ED, NCC, LPC
• Kelly Lynn Quick
• Heather D Quinn, PHARMD
• R&J Peds LLC
• Annmarie Rabal, M.S. CCC-SLP
• Rabin Chiropractic Center
• Judith Lynn Rabin, DC
• Jessica Marie Rafalko, DPT

• Registered Dietitian in Mt Pleasant, SC
• Providers in Mt Pleasant, 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 Apr 3, 2023; 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.