Wanda W Tutt, LRD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

261 Issued in SC

Practice address

333 Revolutionary TRL
Fairfax, SC 29827-7109

Phone

(803) 632-2533

Fax

(803) 632-3757

NPI assigned

Jul 11, 2012

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

Enrolled in SC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Low Country Health Care System Inc 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Farifax, SC
  • NPI 1053475566

  SC

  Medicare reassignment Care Compare group NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1306378310

  SC

  Medicare reassignment Care Compare group NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1578659942

  SC

  Medicare reassignment Care Compare group NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1780112912

  SC

  Medicare reassignment Care Compare group NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1821518556

  SC

  Medicare reassignment Care Compare group NPD
• Low Country Health Care System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blackville, SC
  • NPI 1235225608

  SC

  Medicare reassignment Care Compare group NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1962442244
  Care Compare group NPD
• Low Country Health Care System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1194288571
  Care Compare group NPD
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Fairfax, SC
  • NPI 1649366022
  Care Compare group
• Low Country Health Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Williston, SC
  • NPI 1922468826
  Care Compare group

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1851656243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 REVOLUTIONARY TRL",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298277109",
            "telephone_number": "803-632-2533",
            "fax_number": "803-632-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 REVOLUTIONARY TRL",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298277109",
            "telephone_number": "803-632-2533",
            "fax_number": "803-632-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "WANDA",
        "middle_name": "W",
        "credential": "LRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer B Wagner DMD PC
• Troy Wayne Spires, NP
• Allison A Stanley, M.S.N.,A.C.N.P.
• Katherine Borger Swearingen, PT
• Michael Robert Torkelson, M. D.
• Kelly Futch Wall, MA, CF-SLP
• Sandra Lee Washington Bennett, MA, APC
• We Care Family Resource LLC
• Welvista
• Eunice E White, R.N. B.S.N. C.D.E

• All providers in Fairfax, SC
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.