Provider Demographics
NPI:1326191305
Name:SIPE, CASSIE T (RD)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:T
Last Name:SIPE
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:T
Other - Last Name:SIPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DIETICIAN
Mailing Address - Street 1:U.S. NAVAL HOSPITAL GUAM
Mailing Address - Street 2:PSC 455 BOX 208
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96540
Mailing Address - Country:US
Mailing Address - Phone:671-344-9340
Mailing Address - Fax:
Practice Address - Street 1:U.S. NAVAL HOSPITAL GUAM
Practice Address - Street 2:BLDG 50, FARENHOLT AVENUE
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GU
Practice Address - Zip Code:96910
Practice Address - Country:US
Practice Address - Phone:671-344-9340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered