Active NPI
Suzanne Miller Taddeo, RDN
- Registered Dietitian
- Liverpool, NY
National Provider Identifier
1104284785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007926
- Practice address
- 103 Saltmakers Rd
Liverpool, NY 13088-6224 - Phone
- (315) 333-2032
- NPI assigned
- Feb 10, 2016
- 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 | 007926 | NY | Primary |
Addresses
Primary practice location
103 Saltmakers Rd
Liverpool, NY 13088-6224
Mailing address
103 Saltmakers Rd
Liverpool, NY 13088-6224
Phone (315) 333-2032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201029002026 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 6204246457 | Practice locations: Liverpool, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455062400000",
"number": "1104284785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SALTMAKERS RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886224",
"telephone_number": "315-333-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SALTMAKERS RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886224",
"telephone_number": "315-333-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADDEO",
"first_name": "SUZANNE",
"middle_name": "MILLER",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.