Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Casandra Renee Stidham, MS, RD, CSR, CCTD

Individual provider Registered Dietitian · NPI 1134803497

Miss. Casandra Renee Stidham, MS, RD, CSR, CCTD is a Registered Dietitian in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

2110 E Norris St Unit 301
Philadelphia, PA 19125-1946
Phone: (812) 896-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Renal Nutrition Registered Dietitian (primary) Taxonomy 133VN1005X · Licence 86025925
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1134803497
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CSR , CCTD
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

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