Charity Caroline Sisco, MS RDN CDCES

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

335 E Houghton Ave
West Branch, MI 48661

Phone

(989) 343-3260

Fax

(989) 362-7175

NPI assigned

Jun 4, 2010

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

Other names 1

• Mrs. Charity Caroline Simpkins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1902126667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 MOORES JCT RD",
            "city": "STERLING",
            "state": "MI",
            "postal_code": "486599512",
            "telephone_number": "989-362-9460",
            "fax_number": "989-654-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "48661",
            "telephone_number": "989-343-3260",
            "fax_number": "989-362-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISCO",
        "first_name": "CHARITY",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "MS RDN CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "SIMPKINS",
            "middle_name": "CAROLINE",
            "prefix": "MRS.",
            "credential": "MS RD CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Dietitian in West Branch, MI
• Providers in West Branch, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.