MRS. SUSAN CAMPBELL RIDDICK (NPI# 1174696058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174696058 |
Entity Type | Individual |
Full Name | MRS. SUSAN CAMPBELL RIDDICK |
Credential | R.D., L.D. |
Practice Address |
2399b Smith Ave Pensacola FL 32507-1062 |
Practice Telephone | 9199354558 |
Mailing Telephone | 9199354558 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-11-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | DX3388 | MD | Dietary & Nutritional Service Providers |
N | 133V00000X | Dietitian, Registered | L003675 | NC | Dietary & Nutritional Service Providers |
Street Address |
2399B SMITH AVE |
City | PENSACOLA |
State | FL |
Zip Code | 32507-1062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
Find all providers in zip 32507 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487135489 | Brittany L Thompson | Dietitian, Registered | 7870 Heirloom Dr, Pensacola, FL 32514-1924 | 2018-08-27 |
1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
1932503489 | Stephanie Jennings | Dietitian, Registered | 1505 Atwood Dr, Pensacola, FL 32514-7502 | 2014-10-13 |
1467890681 | Titilayo Ayanwola | Dietitian, Registered | 4300 Bayou Blvd Ste 37, Pensacola, FL 32503-2671 | 2013-06-10 |
1477858603 | Jennifer Anne Duerr | Dietitian, Registered | 1001 W Moreno St, Diabetes and Nutrition Center, Pensacola, FL 32501-2315 | 2011-01-19 |
1164724936 | Ashley Jacobs | Dietitian, Registered | 3331 Summit Blvd Apt 16, Pensacola, FL 32503-4320 | 2010-11-29 |
1285960385 | Emilee June Varnadore | Dietitian, Registered | 916 Turnbuckle Trl, Pensacola, FL 32507-7930 | 2009-10-23 |
1730705344 | Heather Jean Stabley | Dietitian, Registered | 790 Veterans Way, Pensacola, FL 32507-1000 | 2020-06-19 |
1730641382 | Taylor K Brown | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
1932661584 | Heriberto Cruz | Dietitian, Registered | 1000 W Moreno St, Pensacola, FL 32501-2316 | 2019-04-03 |
Find all providers in PENSACOLA |
Please comment or provide details below to improve the information on MRS. SUSAN CAMPBELL RIDDICK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.