REBECCA MICHELLE SUDDOCK (NPI# 1992008452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992008452 |
| Entity Type | Individual |
| Full Name | REBECCA MICHELLE SUDDOCK |
| Credential | MS,RD/LD,CSP |
| Practice Address |
1200 N Phillips Ave Suite 9500 Oklahoma City OK 73104-4600 |
| Practice Telephone | 4052718001 |
| Practice Fax Number | 4052717866 |
| Mailing Telephone | 4052718001 |
| Mailing Fax Number | 4052717866 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
1105 | OK | Dietary & Nutritional Service Providers |
| Street Address |
1200 N PHILLIPS AVE SUITE 9500 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609847680 | Anjan Shah | Internal Medicine | 1200 N Phillips Ave, Suite 3900, Oklahoma City, OK 73104-4600 | 2006-01-30 |
| 1811354475 | Latasha Sheria Jackson | Licensed Practical Nurse | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2016-01-26 |
| 1730597626 | Lauren Yeary | Dentist | 1200 N Phillips Ave, 8th Floor, Suite 8f, Oklahoma City, OK 73104-4600 | 2014-07-24 |
| 1356616718 | Casey Elizabeth Campbell | Dietitian, Registered | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2012-03-19 |
| 1477833523 | Board of Regents of The University of Oklahoma - Ou Physicians | Nurse Practitioner | 1200 N Phillips Ave, Suite 9500, Oklahoma City, OK 73104-4600 | 2011-08-22 |
| 1295014595 | Jacee Diana Harcourt | Nurse Practitioner | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2011-08-04 |
| 1811275241 | Micah Nicole Marshall | Nurse Practitioner | 1200 N Phillips Ave, Oklahoma City, OK 73104-4600 | 2011-08-02 |
| 1437437886 | Monika Leigh Stepniewski | Nurse Practitioner | 1200 N Phillips Ave, Suite 9500, Oklahoma City, OK 73104-4600 | 2011-08-02 |
| 1508144411 | The University of Oklahoma Health Sciences Center | General Acute Care Hospital | 1200 N Phillips Ave, Suite 12109, Oklahoma City, OK 73104-4600 | 2011-07-26 |
| 1053609198 | Ashley Charlotte Davis | Genetic Counselor, MS | 1200 N Phillips Ave, 5100, Oklahoma City, OK 73104-4600 | 2011-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341406 | Kendall Anderson | Dietitian, Registered | 1200 N Phillips Ave Ste 9500, Oklahoma City, OK 73104-4600 | 2020-03-17 |
| 1801010095 | Amy Moore | Dietitian, Registered | 12716 N.e. 36th Street, Oklahoma City, OK 73140 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983409 | Spectrum of Hope, LLC | Dietitian, Registered | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2017-10-19 |
| 1851418396 | Michael York Rhone | Dietitian, Registered | 16109 Himalaya Rdg, Edmond, OK 73013-1229 | 2007-03-22 |
| 1144857517 | Rebecca Porter | Dietitian, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-03-25 |
| 1396380226 | Haley N Riggs | Dietitian, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2019-11-14 |
| 1598229254 | Tori Thompson | Dietitian, Registered | 6465 S Yale Ave Ste 420, Tulsa, OK 74136-7806 | 2019-01-28 |
| 1720476765 | Ahs Cushing Hospital LLC | Dietitian, Registered | 1027 E Cherry St, Cushing, OK 74023-4101 | 2014-12-29 |
| 1396046272 | Lindsey Pool | Dietitian, Registered | 1724 S Harvard Ave, Tulsa, OK 74112-6826 | 2010-11-09 |
| 1063723682 | Arica Lingerfelt | Dietitian, Registered | 1724 S Harvard Ave, Tulsa, OK 74112-6826 | 2010-06-29 |
| 1700030699 | Amy Jo Puls | Dietitian, Registered | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2008-11-05 |
| 1386765733 | Laura Elizabeth Cooper | Dietitian, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2007-04-03 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on REBECCA MICHELLE SUDDOCK.
| 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.