Active NPI
Sydney Ballard, RD
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1417853748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5408 S Broadway
Saint Louis, MO 63111-2023 - Phone
- (901) 257-5124
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- 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 | Primary |
Addresses
Primary practice location
5408 S Broadway
Saint Louis, MO 63111-2023
Mailing address
6324 Tholozan Ave
Saint Louis, MO 63109-1368
Phone (901) 257-5124
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1417853748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6324 THOLOZAN AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091368",
"telephone_number": "901-257-5124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 S BROADWAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631112023",
"telephone_number": "901-257-5124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "SYDNEY",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Kacie Jo Ballantini, PHARM D
- David Hilton Ballard, MD
- Graydon L. Ballard III, DMD
- Rebecca Lee Ballard, OTR
- Richard M Ballard Jr., LCSW
- Wenners Ballard III, MD
- Ballas Anesthesia, Inc
- Ballas Cancer Center, LLC (St Louis Cancer & Breast Institute)
- Ballas Chiropractic Centre Inc
- Ballas Hearing & Audiology Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.