Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Samuel James Sisley, RDLDN

Individual provider Registered Dietitian · NPI 1215102603

Mr. Samuel James Sisley, RDLDN is a Registered Dietitian in Muskogee, Oklahoma. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone: (918) 577-3735
Fax: (918) 577-3829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L001797 (NC)

Record details

NPI number1215102603
Entity typeIndividual (Type 1)
GenderMale
Credentials RDLDN
Sole proprietorYes
NPI enumeratedApril 25, 2008
Last updated in NPPESApril 25, 2008

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