Individual provider Active NPI

Susan R Marshall, RD MS

  • Registered Dietitian
  • Glen Allen, VA
National Provider Identifier
1124575964
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
4900 Cox Rd Ste 150
Glen Allen, VA 23060-6507
Phone
(804) 346-1780
Fax
(804) 346-1781
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 Primary

Addresses

Primary practice location

4900 Cox Rd Ste 150
Glen Allen, VA 23060-6507

Mailing address

4900 Cox Rd Ste 150
Glen Allen, VA 23060-6507
Phone (804) 346-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013002272 VA Practitioner - Registered Dietitian Or Nutrition Professional 6204124878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

4900 Cox Rd
Glen Allen, VA 23060-6507
Phone (804) 346-1780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians, Inc. Current Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physicians, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Virginia Physicians Inc CurrentSince Jun 1, 2018 Accepting new patients
Virginia Physician Inc Current Accepting new patients
Virginia Physicians, Inc Current Accepting new patients
Virginia Physicians, Inc. Past Accepting new patients

Locations

100 Medical Dr
Ashland, VA 23005
Phone (804) 330-0303

4900 Cox Rd
Ste 150
Glen Allen, VA 23060
Phone (804) 346-1780

4900 Cox Rd
Ste 180
Glen Allen, VA 23060
Phone (804) 346-1500

7255 Hanover Green Dr
Mechanicsvlle, VA 23111
Phone (804) 723-3766

15769 Wc Main St
Midlothian, VA 23113
Phone (804) 419-9760

13332 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 794-5598

3000 Watercove Rd
Midlothian, VA 23112
Phone (804) 744-0200

229 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 228-3627

3510 Anderson Hwy
Ste A
Powhatan, VA 23139
Phone (804) 598-3100

6900 Forest Ave
Ste 300
Richmond, VA 23230
Phone (804) 346-1500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHBJBA

Organizations & group practices 8

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1124575964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 COX RD STE 150",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606507",
            "telephone_number": "804-346-1780",
            "fax_number": "804-346-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COX RD STE 150",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606507",
            "telephone_number": "804-346-1780",
            "fax_number": "804-346-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "SUSAN",
        "middle_name": "R",
        "credential": "RD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.

Verify at the official NPI Registry.