Active NPI
Susan Marie Morris, R.D., L.D., CDE
- Registered Dietitian
- Dover, OH
National Provider Identifier
1104034651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4264
- Practice address
- 659 Boulevard St
Dover, OH 44622-2026 - Phone
- (330) 343-3311
- Fax
- (330) 605-0734
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 4264 | OH | Primary |
Addresses
Primary practice location
659 Boulevard St
Dover, OH 44622-2026
Mailing address
305 E 1St St
Uhrichsville, OH 44683-1803
Phone (740) 922-9694
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 |
|---|---|---|---|
| The Union Hospital Association | Past | Accepting new patients | |
| Bio-Medical Applications of Ohio, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Philadelphia, OH
- NPI 1447365283
-
- Community/Retail Pharmacy
- Dover, OH
- NPI 1023316700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104034651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 E 1ST ST",
"city": "UHRICHSVILLE",
"state": "OH",
"postal_code": "446831803",
"telephone_number": "740-922-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 BOULEVARD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222026",
"telephone_number": "330-343-3311",
"fax_number": "330-605-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "R.D., L.D., CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "4264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, OH
Sources for this page
- 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.