MEDICARE: SYDNEY NEEDHAM MS, RDN, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86211327	OH

General Provider Information

NPI Number	:	1881534063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY NEEDHAM MS, RDN, LD

Provider Business Mailing Address
First Line	:	26450 COLUMBUS RD
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-2519
Country	:	US
Telephone Number	:	360-521-4585
Fax Number	:

Provider Business Practice Location Address
First Line	:	26450 COLUMBUS RD
Second Line	:
City	:	BEDFORD
State	:	OH
Zip	:	44146-2519
Country	:	US
Telephone Number	:	360-521-4585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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