SUZANNE THERESA PROULX


Address: 360 Route 101 Ste 1, Bedford, NH 03110-5033
Phone: 6035400212

SUZANNE THERESA PROULX (NPI# 1609095959) 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) 1609095959
Entity Type Individual
Full Name SUZANNE THERESA PROULX
Credential R.D.
Practice Address 360 Route 101 Ste 1
Bedford
NH 03110-5033
Mailing Address Po Box 741
Goffstown
NH 03045-0741
Practice Telephone 6035400212
Practice Fax Number 8889900412
Mailing Telephone 6035400212
Enumeration Date 2007-04-25
Last Update Date 2019-06-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 812 MA Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered 295 NH Dietary & Nutritional Service Providers

Office Location

Street Address 360 ROUTE 101 STE 1
City BEDFORD
State NH
Zip Code 03110-5033

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114587300 Jillian Lee Grosse Dietitian, Registered 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 2019-06-19
1154892909 Artemis Clinic Acupuncturist 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 2018-12-05
1942790217 Wendy Arleen Williams Acupuncturist 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 2018-05-13
1336638352 Elliot Hospital of The City of Manchester Pharmacy 25 Leavy Dr, Bedford, NH 03110 2018-05-04
1588182034 Camille Redmond Nutritionist 360 Route 101 Suite 3 A, Bedford, NH 03110 2017-09-05
1750837092 Katya Kudryavtseva Acupuncturist 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 2016-08-28
1003268004 Bethany Heidemann Occupational Therapist 66 Hawthorne Dr S, Bedford, NH 03110 2016-07-01
1477913044 Ultraflex Systems Inc. Durable Medical Equipment & Medical Supplies 150 Constitution Drive, 1st Floor, Bedford, NH 03110 2016-02-25
1508243676 Lydia Ann Nickerson Dental Hygienist 4 Bell Hill Rd., Bedford, NH 03110 2015-04-28
1629477021 Convenientmd LLC Clinic/Center 3 Nashua Rd, Bedford, NH 03110 2014-08-21
Find all providers in zip 03110

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952938128 Rhythm Nutrition, LLC Dietitian, Registered 38 Hawthorne Dr Unit G205, Bedford, NH 03110-7016 2020-03-26
1114587300 Jillian Lee Grosse Dietitian, Registered 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 2019-06-19
1063957272 Courtney Louise Eaton Dietitian, Registered 17 Appledor Rd, Bedford, NH 03110-5612 2016-12-23
1922326891 Julie Amy Izsak Dietitian, Registered 15 Summit Rd, Bedford, NH 03110-5658 2010-05-17
1295986941 Karen Christina Mcentire Dietitian, Registered 3024 State Highway 121, Bedford, TX 76021-4037 2008-09-30
1669638276 Ann M. Sukany-suls Dietitian, Registered 601 Riverway Pl, Building #6, Bedford, NH 03110-6767 2008-08-03
1326185802 Susanna Li Dietitian, Registered 2309 Folkstone Way, Bedford, Bedford, TX 76021-7971 2007-01-31
1639243421 Suzanne Schur Eastwood Dietitian, Registered 8 Brick Mill Rd, Bedford, NH 03110-5114 2006-11-20
1467531095 Kimberly Edith Dorval Dietitian, Registered 80 Palomino Ln Ste 101, Bedford, NH 03110-6447 2006-11-03
1770508632 Bert William Mathieson Dietitian, Registered 304 Riverway Pl, Bedford, NH 03110-6764 2006-07-13
Find all providers in BEDFORD

Competitor

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City BEDFORD
Zip Code 03110

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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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