Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Alexis Peterson, RD, LD

Individual provider Registered Dietitian · NPI 1669139655

Stephanie Alexis Peterson, RD, LD is a Registered Dietitian in Greenville, South Carolina. Licensed in South Carolina and Wisconsin. Registered with an NPI since 2021.

Licensed in
SC, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

905 Verdae Blvd Ste 202
Greenville, SC 29607-4098
Phone: (864) 522-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86172573 (WI)
Registered Dietitian Taxonomy 133V00000X · Licence 2155 (SC)

Record details

NPI number1669139655
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorNo
NPI enumeratedNovember 24, 2021
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021

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