| Kristy Emily Dechellis, RDN | |
|
2720 Sunset Blvd, West Columbia, SC 29169-4810 | |
| (803) 935-8292 | |
| Not Available |
| Full Name | Kristy Emily Dechellis |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2720 Sunset Blvd, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659877223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD004895 (Georgia) | Secondary |
| 133V00000X | Dietitian, Registered | 2102 (South Carolina) | Primary |
| Provider Name | Lexington Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Emily Dechellis, RDN Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 935-8292 | Kristy Emily Dechellis, RDN 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 935-8292 |
Lexington Health Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2248 Fax: 803-935-8324 | |
Kayce A Boggs, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 132 Sunset Ct, West Columbia, SC 29169 Phone: 803-936-7450 Fax: 803-936-7452 | |
Hailey Denise Spires, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 117 Highgrove Cir, West Columbia, SC 29170 Phone: 803-767-9177 | |
Kay Jones Macinnis, RDN, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 132 Sunset Ct, West Columbia, SC 29169 Phone: 803-359-8410 | |
Lexington Medical Center Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, Attn Credentialing, West Columbia, SC 29169 Phone: 803-791-2000 | |
Stacie B Mcintyre, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 132 Sunset Ct, West Columbia, SC 29169 Phone: 803-936-7450 Fax: 803-936-7452 | |
Mrs. Marlena J Farley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 146 N Hospital Dr, Suite 430, West Columbia, SC 29169 Phone: 803-791-2828 Fax: 803-791-2824 |