Healthcare Provider Details

I. General information

NPI: 1144006156
Provider Name (Legal Business Name): SYDNEY WHITEHEAD ORR MS, RDN, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SYDNEY KAY WHITEHEAD MS, RDN, LD

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4612 BAYOU CT
ORANGE BEACH AL
36561-5777
US

IV. Provider business mailing address

4612 BAYOU CT
ORANGE BEACH AL
36561-5777
US

V. Phone/Fax

Practice location:
  • Phone: 256-856-4544
  • Fax:
Mailing address:
  • Phone: 256-856-4544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND12295
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: