KIMBERLY SUDDEATH (NPI# 1275053373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275053373 |
| Entity Type | Individual |
| Full Name | KIMBERLY SUDDEATH |
| Credential | MS, RD, LD |
| Practice Address |
304 Enterprise Dr Oxford MS 38655-2762 |
| Practice Telephone | 6623711711 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86007101 | Dietary & Nutritional Service Providers |
| Street Address |
304 ENTERPRISE DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770935595 | Oxford Counseling Center, LLC | Counselor | 304 Enterprise Dr, Oxford, MS 38655 | 2016-07-05 |
| 1912485319 | Allison Boyd Layton | Counselor | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2018-07-30 |
| 1962990465 | The Wellness Center of Oxford LLC | Clinic/Center | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2018-04-30 |
| 1700302007 | Eric Suddeath | Counselor | 304 Enterprise Dr, Oxford, MS 38655-2762 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1447875893 | Jaden Nichole Tabat | Dietitian, Registered | 400 Shadow Creek Dr Unit 400, Oxford, MS 38655-6227 | 2020-06-11 |
| 1477017580 | Peggy Everts | Dietitian, Registered | 1260 Lacrosse Trl, Oxford, MI 48371-6606 | 2019-01-23 |
| 1063791903 | Rachel Wenzel | Dietitian, Registered | 104 Forest Ridge Dr, Oxford, MS 38655-5859 | 2011-08-09 |
| 1447577929 | Holly Anne Larson | Dietitian, Registered | 5176 Morning Sun Rd, Suite 1, Oxford, OH 45056 | 2010-04-23 |
| 1568793008 | Joy Weisner | Dietitian, Registered | 1010 College Street, Oxford, NC 27565-2507 | 2010-01-22 |
| 1851530752 | Jeannette Smith Clements | Dietitian, Registered | 740 Nottingham Dr, Oxford, MS 38655-4414 | 2009-02-17 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1821501289 | Margaret Gehring Mickelson | Dietitian, Registered | 101 Hunt Dr, Oxford, NC 27565-3497 | 2017-11-08 |
| 1992224380 | Tamara H Little | Dietitian, Registered | 1311 Circle Dr, Oxford, AL 36203-3201 | 2017-09-17 |
| 1366977373 | Carmen Samuel-hodge | Dietitian, Registered | 101 Hunt Dr, Oxford, NC 27565-3497 | 2017-04-27 |
| Find all providers in OXFORD | ||||
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| 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.