Suelita Reyes De Lara, RD.LD.MS. CNS

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

R369988 Issued in MD

Practice address

1012 Marleigh Cir
Towson, MD 21204-2205

Phone

(410) 605-7629

Fax

(410) 605-7691

NPI assigned

Oct 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083708291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MARLEIGH CIR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042205",
            "telephone_number": "410-605-7629",
            "fax_number": "410-605-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MARLEIGH CIR",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042205",
            "telephone_number": "410-605-7629",
            "fax_number": "410-605-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LARA",
        "first_name": "SUELITA",
        "middle_name": "REYES",
        "name_prefix": "Miss",
        "credential": "RD.LD.MS. CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "R369988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "R369988",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Mary Day
• Karen Day, M.S., CCC-SLP
• Issam Afif Daya, M.D.
• DBT of Maryland
• DBT of Towson
• Elaine Graham Dearing, PSY.D.
• Alyssa Deatley
• Hannahlore Rose Debenham
• Caren Debernardo, PSY.D.
• Deborah L Disney LCSW-C LLC

• Registered Dietitian in Towson, MD
• Providers in Towson, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.