Betty Hicks LRD RN LLC

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Legal business name

BETTY HICKS LRD RN LLC

Practice address

130 Blandina CT
Fort Mill, SC 29708-6433

Phone

(803) 448-7894

Fax

(803) 961-6757

NPI assigned

Apr 1, 2022

Last updated

Apr 1, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Betty Hicks, LRD,RNNPI 1740877281

Title

Owner/Provider

Phone

(803) 448-7894

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Yount Hicks, LRD, RN, LLC

  • Registered Dietitian
  • Fort Mill, SC
  • NPI 1740877281
  Authorized official Same address or phone

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1922748276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 BLANDINA CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086433",
            "telephone_number": "803-448-7894",
            "fax_number": "803-961-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BLANDINA CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086433",
            "telephone_number": "803-448-7894",
            "fax_number": "803-961-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTY HICKS LRD RN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "803-448-7894",
        "authorized_official_credential": "LRD,RN"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renal Nutrition Registered Dietitian in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Renal Nutrition Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.