Active NPI
Joanna Sellin, RD
- Registered Dietitian
- Conway, SC
National Provider Identifier
1851089221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LRD.2543
- Practice address
- 300 Singleton Ridge Rd
Conway, SC 29526-9142 - Phone
- (843) 347-8190
- NPI assigned
- Apr 25, 2023
- 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 | LRD.2543 | SC | Primary |
Addresses
Primary practice location
300 Singleton Ridge Rd
Conway, SC 29526-9142
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-8190
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.conwaymedicalcenter.com/services/nutrition/#:~:text=CMC%20offers%20Outpatient%20Nutrition%20Services,better%20choices%20for%20your%20nutrition. | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LRD.2543 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1851089221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-347-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-347-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLIN",
"first_name": "JOANNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "LRD.2543",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.conwaymedicalcenter.com/services/nutrition/#:~:text=CMC%20offers%20Outpatient%20Nutrition%20Services,better%20choices%20for%20your%20nutrition.",
"affiliation": "N",
"endpointDescription": "CMC Nutrition",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 Singleton Ridge Rd",
"city": "Conway",
"state": "SC",
"country_code": "US",
"postal_code": "295269142",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.