NPI 1194237511 · live from the CMS NPI Registry
Angela Denise Corder, MS, RDN, CSP, FAND
Dietitian, Registered in Lexington, SC. National Provider Identifier 1194237511, active.
NPI record
| NPI | 1194237511 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 407 W Main St, Lexington, SC 29072 |
| Practice phone | 888-765-3438 |
| Mailing address | 501 Laurel Crk, Anderson, SC 29621 |
| Enumerated | October 25, 2017 |
| Last updated | October 25, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutritionist | 133N00000X | L004779 (NC) |
| Nutritionist | 133N00000X | 1431 (TN) |
| Dietitian, Registered | 133V00000X | LD003427 (GA) |
| Dietitian, Registered | 133V00000X | 1431 (TN) |
| Dietitian, Registered | 133V00000X | L004779 (NC) |
| Dietitian, Registered primary | 133V00000X | 57 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.