IndividualActive
Edith Ezekwe, RDN, ASCP,
NPI 1578377404 · Obesity and Weight Management Nutrition Registered Dietitian · Port Gibson, MS
Provider details
- NPI number
- 1578377404
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, ASCP,
- Sex
- Female
- Sole proprietor
- Yes
- License
- 914536 (MS)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
703 Farmer St
Port Gibson, MS 39150-2319
Phone: (601) 437-5668
Street-level locationGet directions
Mailing address
123 Brookwood Dr
Vicksburg, MS 39183-1622
Registry dates
- Enumerated
- 2025-02-03
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.