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

NPI Status: Active since November 24, 2021

Contact Information

905 VERDAE BLVD STE 202
GREENVILLE, SC
ZIP 29607
Phone: (864) 522-2100

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  • Individual
  • Female
  • Dietitian, Registered

About STEPHANIE PETERSON

This page provides the complete NPI Profile along with additional information for Stephanie Peterson, a provider established in Greenville, South Carolina with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1669139655 assigned on November 2021. The practitioner's primary taxonomy code is 133V00000X with license number 86172573 (WI). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1669139655
Provider Name
STEPHANIE ALEXIS PETERSON RD, LD
Gender
Female
Entity Type
Individual
Location Address
905 VERDAE BLVD STE 202 GREENVILLE, SC 29607
Location Phone
(864) 522-2100
Mailing Address
300 E MCBEE AVE FL 4 GREENVILLE, SC 29601
Mailing Phone
(864) 522-2100
Is Sole Proprietor?
No
Enumeration Date
11-24-2021
Last Update Date
11-24-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
86172573
License State
WI
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

2155 (SC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669139655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261292318610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 2 + 3 + 1 + 8 + 6 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1669139655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255972709 ALICIA HYATT
Individual
Counselor (Professional)905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1063418366 SHANU NIKHIL KOTHARI MD
Individual
Surgery905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 676-1072
1013962646 JOHN DAVID SCOTT MD
Individual
Surgery905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 676-1072
1760929616 MELISA GREEN WIESE APRN, NP-C
Individual
Nurse Practitioner (Family)905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 676-1072
1932558087 WESTON KELLER M.D.
Individual
Surgery905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1104230283DR. MICHAEL WES LOVE M.D.
Individual
Surgery905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1841749561 SANDRA HOLMES BREWER PA-C
Individual
Physician Assistant905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1801517636 CAROLINE COATS RD
Individual
Dietitian, Registered905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1831626738 DEBORAH ANN HUTCHEON DCN, RD, LD
Individual
Dietitian, Registered905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1124894118 AMANDA ASBILL MORRIS RD
Individual
Dietitian, Registered905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1770046856 ANDREW FREDRICK SABOUR MD
Individual
Surgery905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100
1134565096DR. NICOLE BLYTHE MOORE RIEGER M.D.
Individual
Surgery905 VERDAE BLVD STE 202
GREENVILLE, SC 29607
(864) 522-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669139655, enumerated in the NPI registry as an "individual" on November 24, 2021

The provider is located at 905 Verdae Blvd Ste 202 Greenville, Sc 29607 and the phone number is (864) 522-2100

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

This NPI record was last updated on November 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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