NICOLE MCKENZIE PREDER


Address: 555 E Cheves St, Florence, SC 29506-2617
Phone: 9202077168

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
COMMISSION ON DIETETIC REGISTRATION 86091928 01

Office Location

Street Address 555 E CHEVES ST
City FLORENCE
State SC
Zip Code 29506-2617

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City FLORENCE
Zip Code 29506

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Dataset Information

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.

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