Healthcare Provider Details

I. General information

NPI: 1841807518
Provider Name (Legal Business Name): SYDNEY ELIZABETH ANDERSON MS, RD, CSSD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4002 N CENTER ST APT 106
HICKORY NC
28601-6933
US

IV. Provider business mailing address

4002 N CENTER ST APT 106
HICKORY NC
28601-6933
US

V. Phone/Fax

Practice location:
  • Phone: 330-447-8202
  • Fax:
Mailing address:
  • Phone: 330-447-8202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: