GREGORY SUSINGER


Address: 1040 Stevenson Ave, Ste A, Enumclaw, WA 98022-2991
Phone: 3608257411

GREGORY SUSINGER (NPI# 1952700551) 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) 1952700551
Entity Type Individual
Full Name GREGORY SUSINGER
Credential REGISTERED DIETITIAN
Practice Address 1040 Stevenson Ave
Ste A
Enumclaw
WA 98022-2991
Mailing Address 24060 Se Kent- Kangley Rd St D100
Maple Valley
WA 98038
Practice Telephone 3608257411
Practice Fax Number 3608257434
Mailing Telephone 4254330123
Mailing Fax Number 4254330733
Enumeration Date 2014-08-19
Last Update Date 2014-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI60471513 WA Dietary & Nutritional Service Providers

Office Location

Street Address 1040 STEVENSON AVE
STE A
City ENUMCLAW
State WA
Zip Code 98022-2991

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609484724 Morgan Wise Physical Therapist 1040 Stevenson Ave, Enumclaw, WA 98022-2991 2020-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558993725 Megan's Massage and Esthetics LLC Massage Therapist 709 Griffin Ave, Enumclaw, WA 98022 2020-02-06
1154883494 Nicola Given Registered Nurse 1818 Cole Street, Enumclaw, WA 98022 2019-04-04
1770099988 Christopher P Koontz, Dds, Ps Dentist 2617 Griffin Ave, Enumclaw, WA 98022 2017-12-26
1487050977 Hunter Chlebowski Massage Therapist 1453 Chinook Ave., Enumclaw, WA 98022 2014-11-10
1194156257 James Kraft Symonds Family Medicine 1605 Washington Ave, Enumclaw, WA 98022 2013-11-27
1508209420 Terri Lynn Kilbourne Specialist 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 2013-04-10
1679824783 Cortney Lauren Adams Massage Therapist 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 2012-09-28
1477828226 Chella Bear Plastiras Speech-Language Pathologist 275 Peterson Drive East, Enumclaw, WA 98022 2012-03-13
1003186693 Travis David Burt Specialist 1838 Porter St, Enumclaw, WA 98022 2012-01-12
1740590884 Justin Andrew Bergstrom Chiropractor 2627 Griffin Ave., Enumclaw, WA 98022 2010-10-07
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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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669705752 Ann M Lachney Dietitian, Registered 1450 Battersby Ave, Enumclaw, WA 98022-3634 2009-09-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275134256 Hannah Baillie Dietitian, Registered 11651 Se 58th St, Bellevue, WA 98006-3722 2020-11-05
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
1598365876 Michelle Irene Howe Dietitian, Registered 14808 23rd Ave Ne, Arlington, WA 98223-9701 2020-10-27
1306445150 Healthy Bodies Nutrition Dietitian, Registered 12808 E Apache Pass Rd, Spokane, WA 99206-9309 2020-10-22
1487253621 Ellen Kim Cho Dietitian, Registered 530 Rosewood Dr Sw, Olympia, WA 98502-2686 2020-10-20
1427656925 Jeannie Lise Belle Castell Dietitian, Registered 4229 Glen Terra Dr Se, Olympia, WA 98503-7165 2020-10-15
1104424845 Mariia Byelykh Dietitian, Registered 20113 3rd Ave Se, Bothell, WA 98012-4521 2020-10-14
1629676499 Shelley Lea Barnhart Dietitian, Registered 24315 Se 196th St, Maple Valley, WA 98038-8975 2020-10-14
1235737115 Beth Ann Smith Dietitian, Registered 130 Teal Ln, Eastsound, WA 98245-5077 2020-10-13
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Competitor

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City ENUMCLAW
Zip Code 98022

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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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