Susan Marie Manternach, RD,LD,CDDE

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

00564 Issued in IA

Practice address

1560 University Ave
Dubuque, IA 52001-4790

Phone

(563) 589-4899

Fax

(563) 589-4897

NPI assigned

Oct 30, 2007

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.

• The Finley Hospital

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1073792644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 UNIVERSITY AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520014790",
            "telephone_number": "563-589-4899",
            "fax_number": "563-589-4897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 UNIVERSITY AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520014790",
            "telephone_number": "563-589-4899",
            "fax_number": "563-589-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTERNACH",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD,LD,CDDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IA",
            "license": "00564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald James Malone, D.C.
• Nicole Felice Mancha, M.D.
• Jessica Manders, PA
• Molly Manders
• Manor Care of Dubuque Ia, LLC
• William B Manzel, M.D.
• Kayla Marbach, MA CFY SLP
• Shawna Jo Marin, LISW
• Molly Markham, MS
• Jennifer Elizabeth Marks, DO

• Metabolic Nutrition Registered Dietitian in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Metabolic Nutrition Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.