Provider Demographics
NPI:1972304640
Name:HUDSON, SYDNEY MICHELLE (RD)
Entity type:Individual
Prefix:MS
First Name:SYDNEY
Middle Name:MICHELLE
Last Name:HUDSON
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 N BAKER ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-1768
Mailing Address - Country:US
Mailing Address - Phone:985-773-2583
Mailing Address - Fax:
Practice Address - Street 1:1446 N BAKER ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-1768
Practice Address - Country:US
Practice Address - Phone:985-773-2583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3959133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered