Rebecca Sandifer Walker

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D1315 Issued in MS

Practice address

2510 Lakeland Dr
Flowood, MS 39232-9513

Phone

(601) 355-1234

Fax

(601) 352-4882

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By the provider in NPPES

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

Other names 1

• Rebecca H Sandifer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1144872359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234",
            "fax_number": "601-352-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329513",
            "telephone_number": "601-355-1234",
            "fax_number": "601-352-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "REBECCA",
        "middle_name": "SANDIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SANDIFER",
            "middle_name": "H",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven J. Wagner, M.D.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2755)
• Walgreen Co (Walgreens #10270)
• Caraline Putnam Walker, RN
• Datche Denise Walker, MSN, APRN, FNP-C
• Ruth Walker
• Kristen Wallace, FNP-C
• Kelsey Duncan Walsh, M.D.
• Anna Walters, CRNA
• Emma Walters

• Registered Dietitian in Flowood, MS
• Providers in Flowood, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.