Individual provider Active NPI

Susie S Han, RDN, LD

  • Registered Dietitian
  • San Antonio, TX
National Provider Identifier
1114219136
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT86911 Issued in TX
Practice address
814 Arion Pkwy Ste 434
San Antonio, TX 78216-2837
Phone
(210) 499-0063
NPI assigned
May 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT86911 TX Primary

Addresses

Primary practice location

814 Arion Pkwy Ste 434
San Antonio, TX 78216-2837

Mailing address

814 Arion Pkwy Ste 434
San Antonio, TX 78216-2837
Phone (210) 499-0063

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

State licenses

LicenseStateTypeSpecialty
DT86911TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Home & Community Rehab Services, Inc. CurrentSince Oct 5, 2025 Accepting new patients
Senior Connections, Inc Past Accepting new patients

Locations

814 Arion Pkwy
Ste 434
San Antonio, TX 78216
Phone (210) 355-0984

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.

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1114219136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 ARION PKWY STE 434",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162837",
            "telephone_number": "210-499-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ARION PKWY STE 434",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162837",
            "telephone_number": "210-499-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SUSIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT86911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.