MRS. COLLEEN ANN WRACKER


Address: 6439 Garners Ferry Rd, Columbia, SC 29209-1638
Phone: 8037764000

MRS. COLLEEN ANN WRACKER (NPI# 1831528116) 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) 1831528116
Entity Type Individual
Full Name MRS. COLLEEN ANN WRACKER
Credential RD,LD,CDE
Practice Address 6439 Garners Ferry Rd
Columbia
SC 29209-1638
Practice Telephone 8037764000
Mailing Telephone 8037764000
Enumeration Date 2013-11-06
Last Update Date 2017-02-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
339 SC Dietary & Nutritional Service Providers

Office Location

Street Address 6439 GARNERS FERRY RD
City COLUMBIA
State SC
Zip Code 29209-1638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720088149 Bryan Davies Podiatrist 6439 Garners Ferry Rd, Columbia, SC 29209 2005-07-28
1255932901 Juno Momoko Davenport Social Worker 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-11-07
1144820275 Heather Ruffin Recreation Therapist 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-10-28
1881201317 Danelle Alexis Magalit Social Worker 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-09-29
1700493186 Allison Marie Anderson Audiologist 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-09-29
1346854783 Sophia Armstrong Social Worker 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-09-02
1609489756 Jeani Rae Clark Quattlebaum Social Worker 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-08-28
1851902340 Brittany Franklin Social Worker 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-08-10
1477162667 Amee Shah Pharmacist 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-07-24
1780292482 Mary Catherine Chase Hess Nurse Practitioner 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2020-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992293013 Pertile Group LLC Family Medicine 26 Foot Point Rd, Columbia, SC 29209 2018-04-24
1083156061 Derek Clark Physical Therapist 6349 Garners Ferry Rd, Columbia, SC 29209 2016-11-08
1922450345 Heather Alexander Social Worker 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 2016-07-09
1265888325 Daphne Elaine Allen Counselor 1850 Pinview Dr, Columbia, SC 29209 2016-05-09
1659757649 Marc Edmundson Pharmacist 500 Gills Creek Pkwy #810, Columbia, SC 29209 2015-08-03
1477949113 Winter Years Home Health Care Agency, LLC Home Health 1101 1st Street, P, Columbia, SC 29209 2015-04-09
1285045773 Alireza Adhami Pharmacist 7235 Garners Ferry Rd, Columbia, SC 29209 2014-05-19
1790039212 Immediate Dental Group Columbia Dentist 1118 Greenlawn Drive, Columbia, SC 29209 2012-11-06
1275896284 Tariq Horani Internal Medicine 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 2012-06-25
1902165467 Medcare Urgent Care Center Garners Ferry, LLC Clinic/Center 7418 Garners Ferry Road, Columbia, SC 29209 2012-05-03
Find all providers in zip 29209

Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295019859 Emily J Lee Dietitian, Registered 5253 Columbia Rd, Columbia, MD 21044-5581 2011-09-30
1003376757 Abigail Gottshall Dietitian, Registered 2435 Forest Dr, Columbia, SC 29204-2026 2019-03-20
1437526159 Holly Redmon Dietitian, Registered 1224 Trotwood Ave, Columbia, TN 38401-4802 2015-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255720967 Wellness Works Dietitian, Registered 106 Turnhouse Ln, Simpsonville, SC 29681-4058 2015-01-19
1265432587 Janet Adair Teel Dietitian, Registered 2225 Beck St, Georgetown, SC 29440-3932 2005-07-28
1790193563 Agnes Macfie Russell Dietitian, Registered 1136 Kincaid Bridge Rd, Winnsboro, SC 29180-7116 2014-07-24

Competitor

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City COLUMBIA
Zip Code 29209

Improve Information

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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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