Active NPI
Christy Spencer, RD
- Registered Dietitian
- Myrtle, MS
National Provider Identifier
1356201404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1226
- Practice address
- 1717 County Road 14 Lot 2
Myrtle, MS 38650-9016 - Phone
- (662) 316-3044
- NPI assigned
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1226 | MS | Primary |
Addresses
Primary practice location
1717 County Road 14 Lot 2
Myrtle, MS 38650-9016
Mailing address
1717 County Road 14 Lot 2
Myrtle, MS 38650-9016
Phone (662) 316-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1226 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1356201404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 COUNTY ROAD 14 LOT 2",
"city": "MYRTLE",
"state": "MS",
"postal_code": "386509016",
"telephone_number": "662-316-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 COUNTY ROAD 14 LOT 2",
"city": "MYRTLE",
"state": "MS",
"postal_code": "386509016",
"telephone_number": "662-316-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CHRISTY",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.