Active NPI
Corrie Maria Davis, RD, LD, CNSC
- Registered Dietitian
- Mullins, SC
National Provider Identifier
1801104534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 504
- Practice address
- 2829 E Highway 76
Mullins, SC 29574-6035 - Phone
- (843) 431-2049
- NPI assigned
- Sep 15, 2010
- Last updated
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 504 | SC | Primary |
Addresses
Primary practice location
2829 E Highway 76
Mullins, SC 29574-6035
Mailing address
2829 E Highway 76
Mullins, SC 29574-6035
Phone (843) 431-2049
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1801104534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 E HIGHWAY 76",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746035",
"telephone_number": "843-431-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 E HIGHWAY 76",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746035",
"telephone_number": "843-431-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CORRIE",
"middle_name": "MARIA",
"credential": "RD, LD, CNSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.