Active NPI
Caroline Coats, RD
- Registered Dietitian
- Greenville, SC
National Provider Identifier
1801517636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2502
- Practice address
- 905 Verdae Blvd Ste 202
Greenville, SC 29607-4098 - Phone
- (864) 522-2100
- Fax
- (803) 522-2105
- NPI assigned
- Sep 9, 2022
- 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 | 2502 | SC | Primary |
Addresses
Primary practice location
905 Verdae Blvd Ste 202
Greenville, SC 29607-4098
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
905 Verdae Blvd Ste 103
Greenville, SC 29607-4098
Phone (864) 522-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221015000241 | SC | Practitioner - Registered Dietitian Or Nutrition Professional | 0244606218 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2502 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1801517636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 VERDAE BLVD STE 202",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296074098",
"telephone_number": "864-522-2100",
"fax_number": "803-522-2105"
}
],
"practiceLocations": [
{
"address_1": "905 Verdae Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296074098",
"country_code": "US",
"telephone_number": "864-522-2180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COATS",
"first_name": "CAROLINE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "2502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.