Active NPI
Sheron G Tyndall, RD MPH CDE
- Registered Dietitian
- Columbia, SC
National Provider Identifier
1861526691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 867922
- Practice address
- 1333 Taylor St Ste 4E
Palmetto Health Baptist Diabetes Education
Columbia, SC 29201-2949 - Phone
- (803) 296-3956
- Fax
- (803) 296-8908
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 9, 2007
- 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 | 867922 | SC | Primary |
Addresses
Primary practice location
1333 Taylor St Ste 4E
Palmetto Health Baptist Diabetes Education
Columbia, SC 29201-2949
Mailing address
1333 Taylor St Ste 4E
Palmetto Health Baptist Diabetes Education
Columbia, SC 29201-2949
Phone (803) 296-3956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DPE037 | Medicaid | SC |
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 |
|---|---|---|---|
| 867922 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861526691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 TAYLOR ST STE 4E",
"address_2": "PALMETTO HEALTH BAPTIST DIABETES EDUCATION",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012949",
"telephone_number": "803-296-3956",
"fax_number": "803-296-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 TAYLOR ST STE 4E",
"address_2": "PALMETTO HEALTH BAPTIST DIABETES EDUCATION",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012949",
"telephone_number": "803-296-3956",
"fax_number": "803-296-8908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNDALL",
"first_name": "SHERON",
"middle_name": "G",
"credential": "RD MPH CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "867922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DPE037",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.