SUSAN KREAGER (NPI# 1881134500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881134500 |
| Entity Type | Individual |
| Full Name | SUSAN KREAGER |
| Credential | RDN, LD, CDE |
| Practice Address |
643 Blue Sky Hwy 132 Ethete WY 82520 |
| Mailing Address |
Po Box 382 Hudson WY 82515-0382 |
| Practice Telephone | 3073328035 |
| Mailing Telephone | 3074382405 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
087 | WY | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 087 | WY | Dietary & Nutritional Service Providers |
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
087 | WY | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
087 | WY | Dietary & Nutritional Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 Glory Lane, Lander, WY 82520 | 3074382405 | |
| 643 Blue Sky Hwy, Ethete, WY 825209368 | 3073328035 |
| Street Address |
643 BLUE SKY HWY 132 |
| City | ETHETE |
| State | WY |
| Zip Code | 82520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| 1740531599 | Julia E Antelope | Licensed Practical Nurse | 197 Yellowcalf, Ethete, WY 82520 | 2012-09-19 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228193 | Suzanne Mae Bowser | Dietitian, Registered | 973 Lane 38, Burlington, WY 82411-9700 | 2020-06-03 |
| 1760039457 | Lauren Michelle Gibbs | Dietitian, Registered | 2304 Pioneer Ave, Cheyenne, WY 82001-3612 | 2019-08-19 |
| 1659840403 | Hannah Lee Tripp | Dietitian, Registered | 1440 N West St., Wilson, WY 83014 | 2018-11-21 |
| 1831690841 | Tenika Leigh Eardley | Dietitian, Registered | 1351 N 8th St, Greybull, WY 82426-1504 | 2018-02-24 |
| 1497268650 | Candace Garner | Dietitian, Registered | 603 Riverside St, Sheridan, WY 82801-6120 | 2017-11-09 |
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1730613209 | Linda M Cardinal | Dietitian, Registered | 1001 Canyon View Ave, Apt 1, Cody, WY 82414-3095 | 2017-04-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1033661525 | Christina M Crowder Anderson | Dietitian, Registered | 1321 Concerto Ln, Cheyenne, WY 82007-3697 | 2016-10-31 |
| 1770936536 | Meagan Day | Dietitian, Registered | 611 E Carlson St Ste 117, Cheyenne, WY 82009-4335 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
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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.