SUSAN ALDERSON (NPI# 1669761904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669761904 |
| Entity Type | Individual |
| Full Name | SUSAN ALDERSON |
| Credential | RD,CDE |
| Practice Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
| Practice Telephone | 8162716700 |
| Practice Fax Number | 8162716701 |
| Mailing Telephone | 8162716700 |
| Mailing Fax Number | 8162716701 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 2001003607 | MO | Dietary & Nutritional Service Providers |
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
2001003607 | MO | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1669761904 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972750768 | Susan Renee Alderson | Skilled Nursing Facility | 550 High St, Bowling Green, KY 42101-1746 | 2008-08-22 |
| Street Address |
5325 FARAON ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261795 | Brian J Robb | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2005-08-09 |
| 1154943991 | Claire Christine Gregson | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-05-14 |
| 1982239349 | Kaylee Messner | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-05 |
| 1760016554 | Nicole Elizabeth Cordonnier | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-02 |
| 1689211609 | Beulah Joshua | Family Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-12-09 |
| 1003452889 | Kevin Baer | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-27 |
| 1265076269 | Kia Whetstine | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-01 |
| 1962052001 | Brynde Janea Thomas | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-09-19 |
| 1073171039 | Rodger Alan Oren | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| 1548828528 | Samantha Jo Shuey | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| 1881133270 | Dawn Marie Brouk | Dietitian, Registered | 16105 Elkton Ct, Chesterfield, MO 63005-6901 | 2017-02-17 |
| 1780950840 | Jessica Leigh Stafford | Dietitian, Registered | 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | 2012-03-22 |
| 1194011726 | Tomoko Okada | Dietitian, Registered | 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 | 2011-06-22 |
| 1730368671 | Tammy Elva Grayum | Dietitian, Registered | 14171 State Road Tt, Festus, MO 63028-4819 | 2007-10-28 |
| 1902428022 | Marilyn Kaye Tanner-blasiar | Dietitian, Registered | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-12 |
| 1205395720 | Laurie Ann Sax | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-14 |
| 1285107821 | Jade Leanna Caldwell | Dietitian, Registered | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2019-01-07 |
| 1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
| 1346622354 | Jordan D. Mize | Dietitian, Registered | 100 Mercy Way, Ste 580, Joplin, MO 64804-4524 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
Please comment or provide details below to improve the information on SUSAN ALDERSON.
| 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.