Deidra Lauren Wood Sisk, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L004298 Issued in NC

Practice address

434 Star Hill Dr
Cape Carteret, NC 28584-9755

Phone

(252) 515-4415

NPI assigned

May 12, 2017

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christine Byrne Nutrition LLC

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1629731419

  Dietitian, Registered

  NPD (past)
• Christine Byrne Nutrition LLC, Dba Ruby Oak Nutrition

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1730060302

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1477080141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E SACK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850242217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 STAR HILL DR",
            "city": "CAPE CARTERET",
            "state": "NC",
            "postal_code": "285849755",
            "telephone_number": "252-515-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "DEIDRA",
        "middle_name": "LAUREN WOOD",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Reindl, M.D.
• David Christopher Roska, D.O.
• Christina Lynn Saracina, D.C.
• Kelly Jean Sasse, RPH
• Jeffrey Hampton Scott, DDS
• Karen Ruth Skarda, MD
• Jacob Smith
• Sound Medical, P.a.
• Raymond L Thomas, MD
• Walgreen Co

• Registered Dietitian in Cape Carteret, NC
• Providers in Cape Carteret, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.