MRS. SALLY SIEFERT HOEDEBECKE (NPI# 1013064666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013064666 |
| Entity Type | Individual |
| Full Name | MRS. SALLY SIEFERT HOEDEBECKE |
| Credential | MS, RD, LD, FADA |
| Practice Address |
5158 Black Hawk Rd Bldg E1930 Aberdeen Proving Ground MD 21010-5403 |
| Mailing Address |
1136 Priestford Rd Street MD 21154-2005 |
| Practice Telephone | 4104365388 |
| Practice Fax Number | 4104363665 |
| Mailing Telephone | 4106885312 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT01885 | TX | Dietary & Nutritional Service Providers |
| Street Address |
5158 BLACK HAWK RD BLDG E1930 |
| City | ABERDEEN PROVING GROUND |
| State | MD |
| Zip Code | 21010-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144481128 | Joseph S. Jones | Preventive Medicine | Army Public Health Command, 5158 Black Hawk Rd, Gunpowder, MD 21010 | 2008-06-23 |
| 1104980150 | Bonnie J Parham | Licensed Practical Nurse | 4110 Austin Road, Gunpowder, MD 21010 | 2006-12-21 |
| 1649214735 | John Hill Barker Jr. | Dentist | Bldg. E4110, Austin Road, Edgewood Dental Clinic, Apg Edgewood Area, MD 21010 | 2006-06-16 |
| 1093910374 | Kimbrough Acc Military Mtf | Clinic/Center | 4110 Austin Road, Aberdeen Proving Ground, MD 21010 | 2007-06-18 |
| 1770686636 | James Malcolm Madsen | Pathology | 3100 Ricketts Point Rd, Usamricd, Attn: Mcmr-cdm (col Madsen), Gunpowder, MD 21010-5400 | 2006-09-06 |
| 1063572501 | Charles Gary Hurst | Dermatology | 3100 Ricketts Point Rd, Gunpowder, MD 21010-5400 | 2006-12-12 |
| 1578543062 | Michael Duane Pattison | Optometrist | Tsvcrd, Aphc, Attn: Mchb-ph-vcr, 8252 Blackhawk Road, Aberdeen Proving Ground, MD 21010-5403 | 2006-01-19 |
| 1528059037 | Kimberly Ann Beck | Preventive Medicine | 5158 Black Hawk Rd, E1570, Gunpowder, MD 21010-5403 | 2005-11-03 |
| 1467978932 | Kim Theresa Pierre | Audiologist | 5158 Black Hawk Rd, Aberdeen Proving Ground, MD 21010-5403 | 2017-08-16 |
| 1144552514 | Roger Gregory Mcintosh | Preventive Medicine | 5158 Black Hawk Rd, Bldg E-1570, Gunpowder, MD 21010-5403 | 2010-02-09 |
| Find all providers in zip 21010 | ||||
| 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 |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | ABERDEEN PROVING GROUND |
| Zip Code | 21010 |
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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.