ELIZABETH DERKS (NPI# 1912453267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912453267 |
| Entity Type | Individual |
| Full Name | ELIZABETH DERKS |
| Practice Address |
9 Richland Medical Park Dr Ste 110 Columbia SC 29203-6859 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034342505 |
| Practice Fax Number | 8034342181 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1519 | SC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | LICENSED DIETITIAN | 1519 | 01 |
| SC | DT1101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851767453 | Elizabeth Derks | Occupational Therapy Assistant | 10425 Oakside Dr, North Chesterfield, VA 23237-3983 | 2015-08-18 |
| Street Address |
9 RICHLAND MEDICAL PARK DR STE 110 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455911 | Srinadh O Rao | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2005-11-21 |
| 1205325883 | Palmetto Health - University of South Carolina Medical Group | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2018-05-09 |
| 1912496597 | Palmetto Health - University of South Carolina Medical Group | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2018-05-09 |
| 1174072755 | Leah Mitchell | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2016-09-23 |
| 1437566718 | Cecilia Fernandes | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2014-07-17 |
| 1497188635 | Weston Lee Rice | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2013-08-12 |
| 1164719894 | Margaret Alexander Gray | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2011-07-01 |
| 1376863654 | Alyssa S Cogdill | Nurse Practitioner | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2010-06-09 |
| 1538485032 | Catherine Williford Sechrist | Pediatrics | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203-6859 | 2010-04-09 |
| 1376710970 | Mary Lee Gregory | Psychiatry & Neurology | 9 Richland Medical Park Dr Ste 110, Columbia, SC 29203 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| 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 |
|---|---|---|---|---|
| 1346857398 | Ashley Rose Fitzgerald | Dietitian, Registered | 5253 Pine Bark Ct, Columbia, MD 21045-2320 | 2020-09-24 |
| 1841805207 | Alma Hopkins | Dietitian, Registered | 805 Stratford Dr, Columbia, MO 65203-6403 | 2020-09-12 |
| 1750996286 | Rebecca Jennings | Dietitian, Registered | 5101 Clark Ln Apt 204, Columbia, MO 65202-9875 | 2020-09-11 |
| 1295375046 | Courtney Blackmon | Dietitian, Registered | 209 Southwood Dr, Columbia, SC 29205-3221 | 2020-01-09 |
| 1093352148 | Climb Nutrition and Wellness LLC | Dietitian, Registered | 104 W 7th St Ste 7, Columbia, TN 38401-3214 | 2019-12-09 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1174184956 | Lindsay Shazly | Dietitian, Registered | 1401 Devine St, Columbia, SC 29208-3902 | 2019-06-24 |
| 1811556954 | Juliana Wishnia | Dietitian, Registered | 1401 Devine St Ofc 116f, Columbia, SC 29208-3902 | 2019-06-12 |
| 1457910580 | Olivia Jolly | Dietitian, Registered | 1409 Devine St Ofc 116d, Columbia, SC 29208-3902 | 2019-06-12 |
| 1538672191 | K Shavo Nutrition, LLC | Dietitian, Registered | 23 Peachtree Cir, Columbia, SC 29206-1135 | 2017-11-06 |
| Find all providers in COLUMBIA | ||||
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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.