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

MS. Corissa Sue Spackman, CNS, LDN, NBC-HWC

Individual provider Nutritionist · NPI 1326810417

MS. Corissa Sue Spackman, CNS, LDN, NBC-HWC is a Nutritionist in Sheridan, Wyoming. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2023
Specialties on file
4
What do these letters mean?
CNS — Clinical Nurse Specialist
An advanced practice nurse specialising in a patient population or setting.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

32 N Gould St Ste R
Sheridan, WY 82801-6317
Phone: (307) 343-3680
Show map & directions

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

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence DX6913 (MD)
Nutrition Education Nutritionist Taxonomy 133NN1002X
Nutritionist Taxonomy 133N00000X
Health & Wellness Coach Taxonomy 171400000X

Record details

NPI number1326810417
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNS , LDN , NBC-HWC
Sole proprietorYes
NPI enumeratedOctober 23, 2023
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

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