Active NPI
Sydney Dickinson, RDN, LN
- Nutritionist
- Helena, MT
National Provider Identifier
1972332831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- MED-NUTR-LIC-143805
- Practice address
- 2475 E Broadway St
Helena, MT 59601-4928 - Phone
- (406) 444-2364
- NPI assigned
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | MED-NUTR-LIC-143805 | MT | Primary |
Addresses
Primary practice location
2475 E Broadway St
Helena, MT 59601-4928
Mailing address
PO Box 31
Ulm, MT 59485-0031
Phone (801) 703-4852
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 |
|---|---|---|---|
| MED-NUTR-LIC-143805 | MT | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1972332831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "ULM",
"state": "MT",
"postal_code": "594850031",
"telephone_number": "801-703-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 E BROADWAY ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596014928",
"telephone_number": "406-444-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "SYDNEY",
"credential": "RDN, LN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MT",
"license": "MED-NUTR-LIC-143805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.