Sally Siefert Hoedebecke, MS, RD, LD, FADA

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT01885 Issued in TX

Practice address

5158 Black Hawk Rd BLDG E1930
Aberdeen Proving Ground, MD 21010-5403

Phone

(410) 436-5388

Fax

(410) 436-3665

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013064666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 PRIESTFORD RD",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211542005",
            "telephone_number": "410-688-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5158 BLACK HAWK RD BLDG E1930",
            "city": "ABERDEEN PROVING GROUND",
            "state": "MD",
            "postal_code": "210105403",
            "telephone_number": "410-436-5388",
            "fax_number": "410-436-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEDEBECKE",
        "first_name": "SALLY",
        "middle_name": "SIEFERT",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, FADA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT01885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrianna Guzman
• Kandy Rochelle Hall, MEDICAL ASSISTANT
• Pamela Jean Hall, RN
• Gina Ann Hardisky
• L'Erin Harrison, LCSW
• Carol G Hooper, M.D.
• Jeremiah J Hosier
• Eric Christopher Huber, PA
• Shannon Marie Jones
• Matthew Wesley Kight, PA-C

• Registered Dietitian in Aberdeen Proving Ground, MD
• Providers in Aberdeen Proving Ground, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.