REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) – Pediatric Nutrition Registered Dietitian, NPI 1992008452

REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Pediatric Nutrition Registered Dietitian. They hold the professional credentials MS,RD/LD,CSP. They hold a License No. 1105 (OK). The NPI Number for REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) is 1992008452

Main info

Female
Sole Proprietor
Name
REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP)
NPI
1992008452
Phone
(405) 271-8001
Address
1200 N PHILLIPS AVE
Enumeration Date
6 December 2010
Last Update Date
6 December 2010
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP)

  • 1200 N PHILLIPS AVE

    SUITE 9500

    OKLAHOMA CITY, OK 731044600

    Phone: (405) 271-8001

    Fax: (405) 271-7866

    Mailing address matches the actual address.

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

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 73104)

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Frequently asked questions

What is the 10-digit NPI for REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP)?
REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) — NPI 1992008452 — is the standard way to identify this listing.
Can I rely on REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) being an active provider?
As of the registry snapshot, REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) is marked active.
What taxonomy line describes REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP)?
For research purposes, treat REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) as Pediatric Nutrition Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
Where is REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) based?
REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) is tied to Oklahoma City, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does REBECCA MICHELLE SUDDOCK (MS,RD/LD,CSP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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