Active NPI
Mary Beth Sheffield, MS, RDN, LD
- Registered Dietitian
- Iuka, MS
National Provider Identifier
1538580386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1368
- Practice address
- 179 CR 995
Iuka, MS 38852 - Phone
- (662) 279-0984
- Fax
- (662) 424-0308
- NPI assigned
- Dec 20, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1368 | MS | Primary |
| Registered Dietitian | 133V00000X | 2300 | AL |
Addresses
Primary practice location
179 CR 995
Iuka, MS 38852
Mailing address
209 CR 995
Iuka, MS 38852
Phone (662) 279-0984
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1368 | MS | MD | Registered Dietitian |
| 2300 | AL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1538580386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 CR 995",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-279-0984",
"fax_number": "662-424-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 CR 995",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-279-0984",
"fax_number": "662-424-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFIELD",
"first_name": "MARY",
"middle_name": "BETH",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1368",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.