Susan Lee Demorlis, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1072 Issued in MN

Practice address

4050 Coon Rapids Blvd NW
Mercy Hospital -- Nutrition Services
Coon Rapids, MN 55433-2522

Phone

(763) 236-8704

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144354176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14235 BOWERS DR NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553037211",
            "telephone_number": "763-421-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 COON RAPIDS BLVD NW",
            "address_2": "MERCY HOSPITAL -- NUTRITION SERVICES",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332522",
            "telephone_number": "763-236-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORLIS",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Alarie Deegan, M.A., BCBA
• Donna Degracia, P.A.
• Ma Lourdes Yepes Dela Cruz
• Sarah Elizabeth Delaforest, LAC
• Christina Lee-Kriz Deleeuw, M.S., CCC-SLP
• Hope M Denn, MA
• Dental Specialists of Minnesota, PLLC (The Dental Specialists)
• Dental Specialists of Minnesota, PLLC (The Dental Specialists)
• Kailee A Derby
• Laura Michelle Derosier-Moran, MA

• Registered Dietitian in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.