Active NPI
Susan Jane White, RD, CDE
- Registered Dietitian
- Rocky Mount, NC
National Provider Identifier
1013296466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002322
- Practice address
- 1041 Noell LN
St 101
Rocky Mount, NC 27804-2058 - Phone
- (252) 446-6964
- Fax
- (252) 442-4531
- NPI assigned
- Aug 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002322 | NC | Primary |
Addresses
Primary practice location
1041 Noell LN
St 101
Rocky Mount, NC 27804-2058
Mailing address
2024 Aspen CT
Nashville, NC 27856
Phone (919) 757-9921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossworks Inc | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1013296466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 ASPEN CT",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "27856",
"telephone_number": "919-757-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 NOELL LN",
"address_2": "ST 101",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042058",
"telephone_number": "252-446-6964",
"fax_number": "252-442-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SUSAN",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "RD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.