Provider Demographics
NPI:1306681465
Name:HIGGINS, ANNA (RDN)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:CAPPLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:460 W BANKHEAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:MS
Mailing Address - Zip Code:38652-3319
Mailing Address - Country:US
Mailing Address - Phone:662-539-7444
Mailing Address - Fax:662-837-3760
Practice Address - Street 1:460 W BANKHEAD ST
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:MS
Practice Address - Zip Code:38652-3319
Practice Address - Country:US
Practice Address - Phone:662-539-7444
Practice Address - Fax:662-837-3760
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD-2544133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered