DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) – Registered Dietitian, NPI 1477080141

DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) is a healthcare provider. based in Phoenix, Arizona. specializing in Registered Dietitian. They hold the professional credentials MS, RDN, LDN. They hold a License No. L004298 (NC). The NPI Number for DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) is 1477080141

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DEIDRA LAUREN WOOD SISK (MS, RDN, LDN)
NPI
1477080141
Phone
(919) 412-3400
Address
514 E SACK DR
Enumeration Date
12 May 2017
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9102393562
Graduation Year
2016 (10 years ago)
PAC ID
2163787862
Group Practice PAC ID
8123281938
Professional Enrollment ID
I20190325000046
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for DEIDRA LAUREN WOOD SISK (MS, RDN, LDN)

  • 514, East Sack Drive, Phoenix, Maricopa County, Arizona, 85024, United States

    PHOENIX, AZ 850242217

    Phone: (919) 412-3400

    Type: Location

  • 434 STAR HILL DR

    CAPE CARTERET, NC 285849755

    Phone: (252) 515-4415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85024)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123281938View full group profile
NameSpecialtyState
JOANNE WHITE (RDN, CSR)
-VI
ADDY L MATHIAS (LD)
Registered Dietitian Or Nutrition ProfessionalOH
JULIA GREENWOOD (RDN)
Registered Dietitian Or Nutrition ProfessionalNC
SAMANTHA FERGUSON
-NC
ASIA ISADORE
Registered Dietitian Or Nutrition ProfessionalNC
JOY VRANEY (RD)
-NC
CAROLINE KOTTERER (RDN)
Registered Dietitian Or Nutrition ProfessionalNC
DARAH MATOS (RDN)
Registered Dietitian Or Nutrition ProfessionalNC
MRS. ANGELICA LEE AGAMI (MS, BA, RD)
-CA
KERRI TAYLOR (RD)
Registered Dietitian Or Nutrition ProfessionalNC

Reviews

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Frequently asked questions

Does DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) have a public NPI I can cite?
Public records show DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) under NPI 1477080141.
Is DEIDRA LAUREN WOOD SISK (MS, RDN, LDN)'s NPI status active today?
Active status means DEIDRA LAUREN WOOD SISK (MS, RDN, LDN)'s NPI record is not deactivated in the public file.
What type of care does DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) provide?
DEIDRA LAUREN WOOD SISK (MS, RDN, LDN)'s profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
Can patients visit DEIDRA LAUREN WOOD SISK (MS, RDN, LDN) in Phoenix, Arizona?
For routing, start with Phoenix, Arizona for DEIDRA LAUREN WOOD SISK (MS, RDN, LDN), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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