KELSEY TILLER (NPI# 1114341708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114341708 |
| Entity Type | Individual |
| Full Name | KELSEY TILLER |
| Credential | RD, LD |
| Practice Address |
100 Roberts Rd Georgetown SC 29440-6898 |
| Practice Telephone | 8434852234 |
| Mailing Telephone | 8434852234 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1135 | SC | Dietary & Nutritional Service Providers |
| Street Address |
100 ROBERTS RD |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-6898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404985 | Waccamaw Nutrition | Dietitian, Registered | 100 Roberts Rd, Georgetown, SC 29440-6898 | 2020-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| 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 |
|---|---|---|---|---|
| 1265046411 | Gena Baisa | Dietitian, Registered | 106 Rapid Springs Cv, Georgetown, TX 78628-2182 | 2020-09-04 |
| 1255975355 | Lynleigh Palmer | Dietitian, Registered | 14280 Brandy Ln, Georgetown, DE 19947-4563 | 2019-10-31 |
| 1902458565 | Michael Kortschak | Dietitian, Registered | 105 Magona Trl, Georgetown, TX 78628-7236 | 2019-07-14 |
| 1407310949 | Carly Ann Wright | Dietitian, Registered | 2300 Wolf Ranch Pkwy Apt 5106, Georgetown, TX 78628-7298 | 2019-01-29 |
| 1285101501 | Norma Sue Thyen | Dietitian, Registered | 31002 La Quinta Dr, Georgetown, TX 78628-1173 | 2018-10-24 |
| 1235400995 | Michelle Carter | Dietitian, Registered | 204 Alyssa Dr, Georgetown, TX 78633-4472 | 2012-01-25 |
| 1932395688 | Bonnie Russell | Dietitian, Registered | 419 Indian Meadow Drive, Georgetown, TX 78626 | 2007-09-17 |
| 1801404223 | Madison Lei Hines | Dietitian, Registered | 20930 Dupont Blvd Unit 202, Georgetown, DE 19947-1724 | 2020-07-22 |
| 1700404985 | Waccamaw Nutrition | Dietitian, Registered | 100 Roberts Rd, Georgetown, SC 29440-6898 | 2020-07-14 |
| 1013289081 | Hope Van Der Heijden | Dietitian, Registered | 1915 S Austin Ave, Suite 106, Georgetown, TX 78626-7843 | 2012-02-06 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
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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.