STEPHANIE ALEXIS PETERSON RD, LD - NPI 1669139655 - Dietitian, Registered in Greenville, SC

Q: What is Stephanie Peterson's NPI number?

The NPI number for Stephanie Peterson is 1669139655. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Q: What is Stephanie Peterson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

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About Stephanie Alexis Peterson Rd, Ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE ALEXIS PETERSON RD, LD (NPI 1669139655) is an individual dietitian, registered in Greenville, South Carolina, licensed in Wisconsin (86172573) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1669139655

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTEPHANIE ALEXIS PETERSONCredential: RD, LD

Location Address905 VERDAE BLVD STE 202Greenville, SC 29607-4098

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-2100

Phone(864) 522-2100

Sole ProprietorNo

Enumeration DateNovember 24, 2021

NPPES CertifiedNovember 24, 2021

✔ NPI 1669139655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in WI · 86172573✔ Licensed in SC · 2155

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

905 VERDAE BLVD STE 202, Greenville, SC 29607

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISSA MARIE HEATH MS, RD, LD

Dietitian, Registered