SYDNIE RENE LEROY


Address: 612 College St, Jacksonville, NC 28540
Phone: 9109893941

SYDNIE RENE LEROY (NPI# 1851794465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851794465
Entity Type Individual
Full Name SYDNIE RENE LEROY
Credential RD
Practice Address 612 College St
Jacksonville
NC 28540
Mailing Address 119b James Ave
Surf City
NC 28445-7051
Practice Telephone 9109893941
Mailing Telephone 8455510026
Enumeration Date 2014-09-28
Last Update Date 2018-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86090516 NC Dietary & Nutritional Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
255 Route 32, Central Valley, NY 109173613 8458276227

Office Location

Street Address 612 COLLEGE ST
City JACKSONVILLE
State NC
Zip Code 28540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548263098 Linda Smoot Sayko Nurse Practitioner 612 College St, Jacksonville, NC 28540-5311 2005-05-28
1902439169 Wilmington Health Pllc Clinic/Center 612 College St, Jacksonville, NC 28540-5311 2020-02-17
1326686213 Sierra Grainger Cook Dietitian, Registered 612 College St, Jacksonville, NC 28540-5311 2019-12-11
1699239814 Haley Smith Midwife 612 College St, Jacksonville, NC 28540-5311 2019-01-23
1801305974 Barbara M Benson Dietitian, Registered 612 College St, Jacksonville, NC 28540-5311 2017-09-21
1073044202 Aisha Ford Dietitian, Registered 612 College St, Jacksonville, NC 28540-5311 2017-03-21
1629516034 Sara Munson Dietitian, Registered 612 College St, Jacksonville, NC 28540-5311 2017-02-06
1225586795 Briana Nicole Terry Nurse Practitioner 612 College St, Jacksonville, NC 28540-5311 2016-09-14
1225586910 Paula Hissett Dietitian, Registered 612 College St, Jacksonville, NC 28540-5311 2016-09-12
1821360009 Amy P Farmer Advanced Practice Midwife 612 College St, Jacksonville, NC 28540-5311 2012-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467067785 Knox Counseling and Consulting, PC Case Management 513 New Bridge St-suite 500, Jacksonville, NC 28540 2020-09-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1639793748 Johnathon T Brewer Military Health Care Provider 100 White St, Jacksonville, NC 28540 2020-06-04
1043782899 Brice Rivra Military Health Care Provider Rr 612 Loop Road, Jacsksonvile, NC 28540 2018-12-18
1649768599 Alexander John Pybus Student in an Organized Health Care Education/Training Program White St Bldg As-100, Jacksonville, NC 28540 2018-04-26
1881198182 Orleiquis Guerra Military Health Care Provider Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 2018-03-21
1558864736 Andrew Louis Monroe General Practice As-100 White Street, Jacksonville, NC 28540 2018-03-14
1588183198 Citizen Community Transport, LLC Private Vehicle 220 Foxwood Ct., Jacksonville, NC 28540 2017-09-14
1558886242 Brandon Jay Smith Military Health Care Provider E Street Bldg G770, Camp Lejeune, NC 28540 2017-08-03
1174043244 Jason Waters Military Health Care Provider White St, Bldg As-100, Jacksonville, NC 28540 2017-06-21
Find all providers in zip 28540

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1073127528 David Cameron Yarborough Dietitian, Registered 8165 Veracruz Dr, Jacksonville, FL 32211-5034 2020-09-02
1710597562 Rachel Lynn Mccandless Dietitian, Registered 1814 Industrial Blvd, Jacksonville, FL 32254-2081 2020-08-06
1417586330 Sarah Nicole Allen Dietitian, Registered 10000 Gate Pkwy N Apt 816, Jacksonville, FL 32246-8210 2020-04-02
1841823259 Katherine Stewart Dietitian, Registered 4203 Belfort Rd Bldg Suite250, Jacksonville, FL 32216-1409 2020-02-14
1679103600 Karen Gabriela Alexander Dietitian, Registered Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 2020-01-17
1972156552 Whitney Russell Dietitian, Registered 413 Little Creek Ct, Jacksonville, NC 28546-8737 2019-07-22
1154805414 Stacy Seslowsky Dietitian, Registered 4300 Lakeside Dr Unit 5, Jacksonville, FL 32210-3364 2018-09-21
1942787734 Tabetha Foose Dietitian, Registered 13295 Smithwick Ln, Jacksonville, FL 32226-0717 2018-07-24
1336656255 Julia Whelan Dietitian, Registered 1488 Landau Rd, Jacksonville, FL 32225-8275 2017-12-30
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Competitor

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City JACKSONVILLE
Zip Code 28540

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Dataset Information

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.

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