Active NPI
Susan Peters, M.S., R.D., CDN
- Registered Dietitian
- Carmel, NY
National Provider Identifier
1124210414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001283-1
- Practice address
- 62 Valley Rd
Carmel, NY 10512-4355 - Phone
- (914) 844-6026
- NPI assigned
- Aug 10, 2007
- 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 | 001283-1 | NY | Primary |
Addresses
Primary practice location
62 Valley Rd
Carmel, NY 10512-4355
Mailing address
41 Beekman Ave
Croton on Hudson, NY 10520-2557
Phone (914) 862-2208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111014000065 | NY | Practitioner - Registered Dietitian Or Nutrition Professional | 5294907374 | Practice locations: Croton on Hudson, NY; Pleasantville, NY; Somers, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
41 Beekman Ave
Croton on Hudson, NY 10520-2557
Phone (914) 844-6026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001283-1 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1124210414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 BEEKMAN AVE",
"city": "CROTON ON HUDSON",
"state": "NY",
"postal_code": "105202557",
"telephone_number": "914-862-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 VALLEY RD",
"city": "CARMEL",
"state": "NY",
"postal_code": "105124355",
"telephone_number": "914-844-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "M.S., R.D., CDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "001283-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.