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REBECCA MICHELLE SUDDOCK MSRD/LDCSP NPI 1992008452


NPI Information

NPI: 1992008452
Provider Name: REBECCA MICHELLE SUDDOCK, MS,RD/LD,CSP
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Individual

Specialization: Nutrition, Pediatric

Address:
1200 N PHILLIPS AVE
SUITE 9500
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-8001
Get Directions

Rebecca Michelle Suddock, MS,RD/LD,CSP is a nutrition and pediatric dietitian registered in Oklahoma City, OK. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Rebecca Michelle Suddock, MS,RD/LD,CSP NPI is 1992008452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1200 N PHILLIPS AVE
SUITE 9500
OKLAHOMA CITY, OK
ZIP 73104-600
Phone: (405) 271-8001
Fax: (405) 271-7866

The enumeration date for this NPI number is 12/6/2010 and was last updated on 12/6/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1004XDietitian, RegisteredNutrition, Pediatric1105OKLAHOMAYes

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: 4/28/2024

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