Active NPI
Wendy C Wyatt, RD,LD,CDM
- Registered Dietitian
- Charleston, SC
National Provider Identifier
1841587359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 885
- Practice address
- 1648 Battalion Dr
Charleston, SC 29412-9623 - Phone
- (843) 670-0168
- NPI assigned
- Jul 5, 2011
- Last updated
- Mar 20, 2013
- 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 | 885 | SC | Primary |
Addresses
Primary practice location
1648 Battalion Dr
Charleston, SC 29412-9623
Mailing address
1648 Battalion Dr
Charleston, SC 29412-9623
Phone (843) 670-0168
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1841587359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 BATTALION DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129623",
"telephone_number": "843-670-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1648 BATTALION DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294129623",
"telephone_number": "843-670-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "WENDY",
"middle_name": "C",
"credential": "RD,LD,CDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.