STACIE B MCINTYRE (NPI# 1144698945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144698945 |
| Entity Type | Individual |
| Full Name | STACIE B MCINTYRE |
| Practice Address |
132 Sunset Ct West Columbia SC 29169-2429 |
| Mailing Address |
Po Box 896239 Charlotte NC 28289-6239 |
| Practice Telephone | 8039367450 |
| Practice Fax Number | 8039367452 |
| Mailing Telephone | 8039367450 |
| Mailing Fax Number | 8039367452 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | SC | Dietary & Nutritional Service Providers |
| Street Address |
132 SUNSET CT |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196260 | Analyn T Talip | Internal Medicine | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2005-06-30 |
| 1457959561 | Lexington Health Inc | Internal Medicine | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2020-10-12 |
| 1093189128 | Kay Macinnis | Dietitian, Registered | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2015-12-01 |
| 1396051819 | Swathi Beeravolu | Internal Medicine | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2010-08-20 |
| 1427287937 | Gayatri Kuraganti | Internal Medicine | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2009-07-06 |
| 1073755922 | Kayce A Boggs | Dietitian, Registered | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2009-03-24 |
| 1700024155 | Kevin Tyer | Specialist | 132 Sunset Ct, Suite B, West Columbia, SC 29169-2429 | 2009-01-22 |
| 1689842957 | Lexington County Health Services District, Inc. | Internal Medicine | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2008-02-20 |
| 1861433831 | Frank John Ferraro | Internal Medicine | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2006-06-09 |
| 1447206297 | Tammy C Smith | Nurse Practitioner | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960045 | Heather Fleck | Dietitian, Registered | 371 Ashburton Ln, West Columbia, SC 29170-3866 | 2016-01-20 |
| 1538587530 | Janet Shufelt | Dietitian, Registered | 124 Howe St, West Columbia, SC 29170-4238 | 2014-04-07 |
| 1609483247 | Daria Patres Spratley | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-28 |
| 1730795568 | Chelsea Mckenna Bruce | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2020-09-17 |
| 1932692399 | Elizabeth Ann Seward | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2018-06-11 |
| 1730672189 | Laura S Warner | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2018-06-11 |
| 1821581208 | Rebecca J Mcvicker | Dietitian, Registered | 2720 Sunset Blvd, West Columbia, SC 29169-4810 | 2018-06-11 |
| 1093189128 | Kay Macinnis | Dietitian, Registered | 132 Sunset Ct, West Columbia, SC 29169-2429 | 2015-12-01 |
| 1790155471 | Emily Kohls | Dietitian, Registered | 146 N Hospital Dr, Suite 430, West Columbia, SC 29169-4800 | 2015-10-06 |
| 1275923468 | Marlena J Farley | Dietitian, Registered | 146 N Hospital Dr, Suite 430, West Columbia, SC 29169-4800 | 2015-01-27 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.