NICOLE MCKENZIE PREDER (NPI# 1437776267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437776267 |
Entity Type | Individual |
Full Name | NICOLE MCKENZIE PREDER |
Credential | RDN |
Practice Address |
555 E Cheves St Florence SC 29506-2617 |
Mailing Address |
2374 Freedom Blvd Apt A2 Florence SC 29505-6175 |
Practice Telephone | 9202077168 |
Mailing Telephone | 9202077168 |
Enumeration Date | 2020-06-27 |
Last Update Date | 2020-07-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
COMMISSION ON DIETETIC REGISTRATION | 86091928 | 01 |
Street Address |
555 E CHEVES ST |
City | FLORENCE |
State | SC |
Zip Code | 29506-2617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689670135 | Andre T. Creese | Emergency Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2005-06-21 |
1669070694 | Meghan Joan Wallace | Nurse Practitioner | 555 E Cheves St, Florence, SC 29506-2617 | 2020-10-12 |
1326661000 | Christopher Bradley Tyner | Nurse Anesthetist, Certified Registered | 555 E Cheves St, Florence, SC 29506-2617 | 2020-05-28 |
1588285480 | Kenya Evette Thomas | Student in an Organized Health Care Education/Training Program | 555 E Cheves St, Florence, SC 29506-2617 | 2020-05-01 |
1437788056 | Deleisha Mcfadden | Nurse Anesthetist, Certified Registered | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-06 |
1902435084 | Charlee Caroline Pittman | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-02 |
1194353250 | Michael Craig Corso | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-01 |
1164050373 | Michael Shea | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-04-01 |
1184252926 | Lauren Veronica Benning | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-03-28 |
1588292569 | Riley Daniel Little | Family Medicine | 555 E Cheves St, Florence, SC 29506-2617 | 2020-03-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
Find all providers in zip 29506 |
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 |
---|---|---|---|---|
1295295004 | Rubina Husain | Dietitian, Registered | 48 Riverside Dr Unit A, Florence, MA 01062-2837 | 2019-03-20 |
1417405028 | Simona Alicia Williams | Dietitian, Registered | 333 Lindenberg Ave, Florence, AL 35630-5911 | 2016-09-13 |
1407240518 | Shannon Garner | Dietitian, Registered | 151 Ana Dr, Florence, AL 35630-1731 | 2015-03-26 |
1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
1184961070 | Cami Lynn Bremer | Dietitian, Registered | 501 Winston St, Florence, SC 29501-4624 | 2013-01-11 |
1427004738 | Mcleod Regional Medical Center of The Pee Dee, Inc | Dietitian, Registered | 101 William H Johnson St Ste 290, Florence, SC 29506-2769 | 2006-05-26 |
1063930790 | Brittany M Diehl | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-09-01 |
1275066953 | Rachel Wagner | Dietitian, Registered | 4900 Houston Rd, Florence, KY 41042-4824 | 2017-04-10 |
1558813899 | Caitlin Guess | Dietitian, Registered | 360 N Irby St, Florence, SC 29501 | 2016-11-03 |
Find all providers in FLORENCE |
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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.