SUSAN LEACH (NPI# 1104989235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104989235 |
| Entity Type | Individual |
| Full Name | SUSAN LEACH |
| Other Name | SUSAN HUGGINS |
| Practice Address |
137 E Blount Ave Knoxville TN 37920-1629 |
| Practice Telephone | 8655495769 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 132700000X | Dietary Manager | LDN0000001451 | TN | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE LICENSE | LDN0000001451 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871893446 | Susan B Leach | Licensed Practical Nurse | 42 River St, Chateaugay, NY 12920-2002 | 2010-10-28 |
| 1013085232 | Susan Joy Leach | Physical Therapist | 2325 Stantonsburg Rd, Ecu Physicians Physical Therapy, Greenville, NC 27834-7534 | 2006-12-04 |
| 1386629798 | Susan G Leach | Psychologist | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2005-12-08 |
| Street Address |
137 E BLOUNT AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470779 | Cyriac John | Anesthesiology | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2005-07-12 |
| 1669654588 | James Frank Koren | Pharmacist | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2007-12-03 |
| 1558563262 | Health Ventures, Inc | Clinic/Center | 137 E Blount Ave, Knoxville, TN 37920-1629 | 2007-06-04 |
| 1568587905 | Mark L Baker | Nurse Anesthetist, Certified Registered | 137 E Blount Ave, Knoxville, TN 37920-1629 | 2007-03-21 |
| 1780748848 | Marilyn D. Turner | Dietitian, Registered | 137 E Blount Ave, Knoxville, TN 37920-1629 | 2006-12-21 |
| 1497814362 | Soonja Shin Choo | Nutritionist | 137 E Blount Ave, Knoxville, TN 37920-1629 | 2006-12-07 |
| 1407829989 | Baptist Hospital of East Tennessee, Inc. | Psychiatric Unit | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2006-02-07 |
| 1760454508 | Baptist Hospital of East Tennessee, Inc. | General Acute Care Hospital | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2006-02-06 |
| 1639141351 | Baptist Hospital of East Tennessee, Inc. | Rehabilitation Unit | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2006-02-06 |
| 1548232267 | Baptist Hospital of East Tennessee, Inc. | Skilled Nursing Facility | 137 E Blount Ave, Knoxville, TN 37920-1601 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 132700000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietary Manager |
| A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184033151 | Health and Aesthetics LLC | Dietary Manager | 9111 Cross Park Dr, Suite D226, Knoxville, TN 37923-4506 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346757010 | Taura Taylor | Dietary Manager | 9442 Afton Grove Rd, Cordova, TN 38018-7520 | 2018-01-03 |
| 1104267111 | Premier Age Management and Medical Weight Loss Center, LLC | Dietary Manager | 229 Ward Cir, A-23, Brentwood, TN 37027-7518 | 2013-07-08 |
| 1417239757 | Nexslim of Hermitage, LLC | Dietary Manager | 5651 Frist Blvd, Suite 207, Hermitage, TN 37076-2054 | 2011-09-13 |
| 1083902969 | Patricia Brown | Dietary Manager | 1310 24th Ave S, Nashville, TN 37212-2637 | 2011-07-13 |
| 1205941507 | Jennifer Lee Earnest | Dietary Manager | 1030 Jefferson Ave, Nutrition and Food Services (120), Memphis, TN 38104-2127 | 2006-08-20 |
| 1972514255 | Catherine Austin | Dietary Manager | 1030 Jefferson Ave, 120, Memphis, TN 38104-2127 | 2006-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.