SEDREK CHILDRESS CERTIFIED NUTRITIONI NPI 1598211849

NPI Information

NPI: 1598211849
Provider Name: SEDREK CHILDRESS, CERTIFIED NUTRITIONI
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
3406 SOHO ST APT 101
ORLANDO, FL
ZIP 32835
Phone: (574) 903-3965
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Sedrek Childress, CERTIFIED NUTRITIONI is a nutrition and education nutritionist in Orlando, FL. Sedrek Childress, CERTIFIED NUTRITIONI NPI is 1598211849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3406 SOHO ST APT 101
ORLANDO, FL
ZIP 32835-593
Phone: (574) 903-3965

The enumeration date for this NPI number is 8/28/2016 and was last updated on 8/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	132700000X	Dietary Manager		79170	FLORIDA	No
2	133N00000X	Nutritionist		79170	FLORIDA	No
3	133NN1002X	Nutritionist	Nutrition, Education	79170	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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