MRS. PENNY WEST DICKERSON RD
NPI 1073369658
Dietitian, Registered in Choctaw, MS

Q: What is Penny Dickerson's NPI number?

The NPI number for Penny Dickerson is 1073369658. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Q: What is Penny Dickerson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Penny Dickerson was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 25, 2024

210 HOSPITAL CIR, CHOCTAW, MS 39350(601) 389-4132 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Penny West Dickerson Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. PENNY WEST DICKERSON RD (NPI 1073369658) is an individual dietitian, registered in Choctaw, Mississippi, licensed in Mississippi (D-0579) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1073369658

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. PENNY WEST DICKERSONCredential: RD

Location Address210 HOSPITAL CIRChoctaw, MS 39350-6781

Mailing Address210 Hospital CirChoctaw, MS 39350-6781 · (601) 389-4132

Phone(601) 389-4132

Sole ProprietorYes

Enumeration DateApril 25, 2024

NPPES CertifiedApril 25, 2024

✔ NPI 1073369658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MS · D-0579

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

210 HOSPITAL CIR, Choctaw, MS 39350

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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