Suzanne Michell McKay, RD, LDN

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

164005376 Issued in IL

Practice address

733 Spruce Rd
Frankfort, IL 60423-1039

Phone

(815) 464-9734

Fax

(815) 464-9735

NPI assigned

Oct 2, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cupp Nutrition Services, Inc

  • Registered Dietitian
  • Frankfort, IL
  • NPI 1730537267
  NPD (past)
• Primary Nutrition Specialists, Inc.

  • Pediatric Nutrition Registered Dietitian
  • Frankfort, IL
  • NPI 1295860781

  Nutrition, Pediatric

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1043561962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 SPRUCE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231039",
            "telephone_number": "815-464-9734",
            "fax_number": "815-464-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SPRUCE RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231039",
            "telephone_number": "815-464-9734",
            "fax_number": "815-464-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "SUZANNE",
        "middle_name": "MICHELL",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "IL",
            "license": "164005376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly May, D.P.M.
• Hannah Molly McCarthy
• Wayne M McCullough
• McKinley Danae McElroy, RBT
• Mary McGrath
• Sarah C McKevitt
• Kelly McLaughlin, LCSW
• Shannon Kathleen McMahon, L.AC.
• Sheila McManus, CCC-SLP-L
• Rama Medavaram, M.D.

• Pediatric Nutrition Registered Dietitian in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Pediatric Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.