Sugianawaty Mulia, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001873 Issued in IA

Practice address

1000 4TH St SW
Mason City, IA 50401-2800

Phone

(641) 422-7000

Fax

(641) 422-6433

NPI assigned

May 4, 2010

Last updated

May 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1114245909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-422-7000",
            "fax_number": "641-422-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012800",
            "telephone_number": "641-422-7000",
            "fax_number": "641-422-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULIA",
        "first_name": "SUGIANAWATY",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "001873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Morse, DO
• Moxihealth PLLC
• Maureen Akwi Muke, MD
• Umer Mukhtar, MD
• Timothy L Mulholland, M.D.
• Brett Mulkey, DO
• Jake Lee Mullenbach, DO
• Susan A Mullenbach, ARNP
• Emily Evans Murphy
• John Francis Murphy, RPH

• Registered Dietitian in Mason City, IA
• Providers in Mason City, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.