Provider Demographics
NPI:1518335181
Name:SANKEY, JOYCE ANN (RD,LD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:ANN
Last Name:SANKEY
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:MCCLURE
Other - Last Name:HURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LD
Mailing Address - Street 1:1002 4TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-2425
Mailing Address - Country:US
Mailing Address - Phone:319-363-3565
Mailing Address - Fax:319-398-2296
Practice Address - Street 1:1002 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-2425
Practice Address - Country:US
Practice Address - Phone:319-363-3565
Practice Address - Fax:319-398-2296
Is Sole Proprietor?:No
Enumeration Date:2015-09-12
Last Update Date:2015-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01213133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered