Rebecca Michelle Suddock, MS,RD/LD,CSP

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

1105 Issued in OK

Practice address

1200 N Phillips Ave
Suite 9500
Oklahoma City, OK 73104-4600

Phone

(405) 271-8001

Fax

(405) 271-7866

NPI assigned

Dec 6, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Board of Regents of the University of Oklahoma - Ou Physicians

  • Pediatric Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1477833523
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1992008452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N PHILLIPS AVE",
            "address_2": "SUITE 9500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044600",
            "telephone_number": "405-271-8001",
            "fax_number": "405-271-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N PHILLIPS AVE",
            "address_2": "SUITE 9500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044600",
            "telephone_number": "405-271-8001",
            "fax_number": "405-271-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDOCK",
        "first_name": "REBECCA",
        "middle_name": "MICHELLE",
        "credential": "MS,RD/LD,CSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OK",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Sublett
• Suboxone Solutions LLC
• Substance Abuse Foundatiion for Educaiton
• Kelly Eugenia Sucher
• Suzanne Denise Suddath, COTA/L
• Summer Suffridge, MSSA
• Fnu Sufyan Ibrahim, MBBS
• Sugar Sweet Rehabilitation Services
• Joneisha Suggs
• Yoko Sugimoto, CRNA

• Pediatric Nutrition Registered Dietitian in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pediatric Nutrition Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.