SUSAN R WANG


Address: 910 Boylston Ave, Seattle, WA 98104-1313
Phone: 2062152440

SUSAN R WANG (NPI# 1710041660) 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) 1710041660
Entity Type Individual
Full Name SUSAN R WANG
Credential RD
Practice Address 910 Boylston Ave
Seattle
WA 98104-1313
Mailing Address Po Box 84026
Seattle
WA 98124-8426
Practice Telephone 2062152440
Practice Fax Number 2062152457
Mailing Telephone 2063204476
Mailing Fax Number 2065687043
Enumeration Date 2006-12-21
Last Update Date 2009-02-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered ID00000585 WA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8430050 05

Other Providers SUSAN WANG

NPI Name Taxonomy Address Enumeration
1427251222 Susan Jene Wang Dentist 501 S Idaho Street, Suite 190, La Habra, CA 90631 2007-06-08
1013448349 Susan Si-yao Wang Internal Medicine 1 Medical Center Dr, Dartmouth-hitchcock Medical Ctr, Department of Medicine, Lebanon, NH 03756-1000 2017-03-27
1396977211 Susan Wang Radiology 1000 W Carson St, Torrance, CA 90502-2004 2009-08-11
1437301488 Susan Wang Nurse Practitioner 2480 Mission St, Suite 109, San Francisco, CA 94110-2468 2008-10-21
1598880031 Susan M Wang Internal Medicine 849 Boston Post Rd Ste 300, Milford, CT 06460-3537 2007-03-21
1043379787 Susan Elizabeth Wang Family Medicine 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 2006-12-08
1154334753 Susan Annemarie Wang Internal Medicine 1670 Clairmont Rd, Decatur, GA 30033-4004 2006-08-14
1265412571 Susan S. Wang Pediatrics 31 Hall Dr, Suite 2, Amherst, MA 01002-2751 2006-01-20

Office Location

Street Address 910 BOYLSTON AVE
City SEATTLE
State WA
Zip Code 98104-1313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235319609 Sarah M Engel Dietitian, Registered 910 Boylston Ave, Seattle, WA 98104-1313 2007-11-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699394312 Richard Charles Harruff Pathology King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 2020-04-13
1558999474 Nathan Richard Benner Student in an Organized Health Care Education/Training Program Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 2020-03-27
1063058493 Brook, LLC. Health Educator 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 2019-11-20
1609418813 Stephanie Amanda Ann Mason Student in an Organized Health Care Education/Training Program 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 2019-10-09
1013480250 Robert Kenneth Lozier Pedorthist Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 2019-01-10
1548739576 Lee Hanses Physical Therapist 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 2018-11-20
1821579095 Karissa Lin Lee Pharmacist 401 Broadway #2075, Seattle, WA 98104 2018-08-27
1477042091 Maham Jehangir Student in an Organized Health Care Education/Training Program 325 9th Ave Department of Radiology, Seattle, WA 98104 2018-05-09
1740786581 Philip Daniel Tolley Student in an Organized Health Care Education/Training Program 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 2018-04-02
1528564242 Vanessa Dawn Leonhard Student in an Organized Health Care Education/Training Program 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 2018-04-02
Find all providers in zip 98104

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
1629679949 Renewtrition, LLC Dietitian, Registered 4239 Evanston Ave N, Seattle, WA 98103-7206 2020-11-03
1144821620 Sydney Marie Carroll Dietitian, Registered 1818 E Mercer St Ste 103, Seattle, WA 98112-4689 2020-11-03
1679170096 Taisha Bell Dietitian, Registered 300 1st Ave W Apt 303, Seattle, WA 98119-4375 2020-10-08
1225645427 Virginia A Turner Dietitian, Registered 434 Ne 73rd St Apt 1/2, Seattle, WA 98115-5331 2020-09-30
1326653734 Julie Duli Kim Dietitian, Registered 4220 S Trenton St, Seattle, WA 98118-4921 2020-09-11
1750996252 Geneva Curry Dietitian, Registered 3006 Nw Market St Apt 5, Seattle, WA 98107-4222 2020-09-10
1679187066 Sara C Woolcock Dietitian, Registered 1800 15th Ave S Unit B, Seattle, WA 98144-4214 2020-09-02
1275150773 Miranda Duffy Eriksen Dietitian, Registered 4235 Francis Ave N Apt 204, Seattle, WA 98103-7126 2020-06-30
1790302610 Clare Bawden Dietitian, Registered 7408 28th Ave Nw, Seattle, WA 98117-5951 2020-06-26
1366068744 Tracey Kmiecik Dietitian, Registered 5450 Leary Ave Nw Apt 643, Seattle, WA 98107-4081 2020-06-22
Find all providers in SEATTLE

Competitor

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City SEATTLE
Zip Code 98104

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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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