NPI 1588210819 · live from the CMS NPI Registry
Johanna B Bertino, RD, LD, CEDRD
Dietitian, Registered in Greer, SC. National Provider Identifier 1588210819, active.
NPI record
| NPI | 1588210819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4 Parkway Commons Way, Greer, SC 29650 |
| Practice phone | 864-334-8098 |
| Mailing address | 201 N Miller St, Greer, SC 29650 |
| Enumerated | August 13, 2019 |
| Last updated | August 13, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 879 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.