MS. SUSANNAH LIN EDWARDS


Address: 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106
Phone: 2404493094

MS. SUSANNAH LIN EDWARDS (NPI# 1154854545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154854545
Entity Type Individual
Full Name MS. SUSANNAH LIN EDWARDS
Credential MS RDN LD
Practice Address 10215 Fernwood Rd
Suite 630
Bethesda
MD 20817-1106
Mailing Address 1707 Black Oak Ln
Silver Spring
MD 20910-1423
Practice Telephone 2404493094
Practice Fax Number 2404894415
Mailing Telephone 2404493094
Mailing Fax Number 2404894415
Enumeration Date 2017-04-04
Last Update Date 2017-04-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DX4187 MD Dietary & Nutritional Service Providers

Office Location

Street Address 10215 FERNWOOD RD
SUITE 630
City BETHESDA
State MD
Zip Code 20817-1106

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NPI Name Taxonomy Address Enumeration
1235134560 Christopher Cannova Specialist 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 2005-06-14
1194273052 Margarita E Matamoros Social Worker 10215 Fernwood Rd, Ste 630, Bethesda, MD 20817-1106 2016-09-20
1528419397 Judith W Libert Social Worker 10215 Fernwood Rd, Suite 630, Bethesda, MD 20817-1106 2016-06-23
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1205201035 Calli Jean Van Dam Nurse Practitioner 10215 Fernwood Rd, Ste 506, Bethesda, MD 20817-1184 2015-12-04
1992105050 Rahat Sood Dentist 10215 Fernwood Rd, Suite 415, Bethesda, MD 20817-1106 2014-08-26
1841632650 Michael Jay Tanenhaus Dentist 10215 Fernwood Rd, Suite 414, Bethesda, MD 20817-1106 2013-07-22
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1326383019 Jessica L Murgueytio Dietitian, Registered 10215 Fernwood Rd, Ste 50, Bethesda, MD 20817-1106 2012-12-06
1831452135 Ortho-trauma Bethesda, LLC Orthopaedic Surgery 10215 Fernwood Rd, Suite 506, Bethesda, MD 20817-1106 2012-06-21
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NPI Name Taxonomy Address Enumeration
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1952725525 Jenna Kuhn Student in an Organized Health Care Education/Training Program 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 2014-02-18
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

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1922609791 Emily Chapman Dietitian, Registered 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 2020-11-06
1629679436 Anna Carey Smith Dietitian, Registered 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 2020-11-06
1851906226 Caitlyn Grace Shaver Dietitian, Registered W07t Hhc Wrnmmc, Bethesda, MD 20889-0001 2020-09-13
1114373826 Adrienne Inger Dietitian, Registered 7001 Arlington Rd, Apt 205, Bethesda, MD 20814-5405 2016-05-11
1770959058 Rock Spring Health, LLC Dietitian, Registered 5225 Pooks Hill Rd Apt 517n, Bethesda, MD 20814-6745 2015-08-20
1336527233 Melissa Rittenhouse Dietitian, Registered 7315 Wisconsin Ave Ste 400w, Bethesda, MD 20814-3224 2015-05-12
1205264181 Paul Rosbrook Dietitian, Registered 8901 Wisconsin Ave Bldg 7, Suite 3129, Bethesda, MD 20889-5600 2013-10-31
1396015954 Tricia Lynn Psota Dietitian, Registered 5110 Dudley Ln Apt 102, Bethesda, MD 20814-5456 2012-01-12
1336479013 Ann Gerber Dietitian, Registered 5108 Saratoga Ave, Bethesda, MD 20816-3040 2010-01-02
1912021841 Yvostay Reneese Rushing Dietitian, Registered 4494 North Palmer Rd, Bethesda, MD 20889-4004 2007-03-17
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Competitor

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City BETHESDA
Zip Code 20817

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Dataset Information

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.

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