Active NPI
Miranda Prisland, RD, LD
- Registered Dietitian
- Chester, SC
National Provider Identifier
1891166831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1193
- Practice address
- 1 Medical Park Dr
Chester, SC 29706-9769 - Phone
- (803) 581-3151
- NPI assigned
- Oct 16, 2015
- Last updated
- Oct 16, 2015
- 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 | 1193 | SC | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Chester, SC 29706-9769
Mailing address
2395 Marett Blvd
Rock Hill, SC 29732-1638
Phone (608) 738-4221
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 |
|---|---|---|---|
| 1193 | SC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1891166831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 MARETT BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321638",
"telephone_number": "608-738-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "CHESTER",
"state": "SC",
"postal_code": "297069769",
"telephone_number": "803-581-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISLAND",
"first_name": "MIRANDA",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, SC
- Jeffrey Thomas Pilcher, PHARMD
- Drewid Plyer Poulos, PA-C
- Precise Transportation LLC (Precise Transportation)
- Precision Behavioral and Medical Group, LLC
- Premier Clinics PA (Premier Clincs)
- Brenda Raines, R N
- Reid Dentistry LLC
- George Paul Reid, D.M.D.
- Resourceful Health Care
- Resourceful Healty Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.