Christy Spencer, RD
Dietitian, Registered in Myrtle, MS. Individual provider (NPI-1).
NPI number1356201404
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1356201404
- Entity type
- Individual (NPI-1)
- Name
- Christy Spencer
- Credential
- RD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2025
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | D1226 | MS | Yes |
Practice location
1717 County Road 14 Lot 2Myrtle, MS 38650-9016
Phone 662-316-3044
Mailing address
1717 County Road 14 Lot 2Myrtle, MS 38650-9016
Phone 662-316-3044
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Other Registered Dietitian providers in Myrtle, MS
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