Active NPI
Susan Malony, MS, RD
- Registered Dietitian
- Yreka, CA
National Provider Identifier
1164545778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 462546
- Practice address
- 101 E Oberlin Rd
Yreka, CA 96097-9553 - Phone
- (530) 842-4445
- NPI assigned
- Apr 9, 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 | 462546 | IL | Primary |
Addresses
Primary practice location
101 E Oberlin Rd
Yreka, CA 96097-9553
Mailing address
PO Box 1086
Yreka, CA 96097-1086
Phone (530) 842-9685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462546 | Other | IL | DIETETIC REGISTRATION |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 462546 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steve Kolpacoff MD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Yreka, CA
- NPI 1518138544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164545778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1086",
"city": "YREKA",
"state": "CA",
"postal_code": "960971086",
"telephone_number": "530-842-9685",
"fax_number": "530-842-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E OBERLIN RD",
"city": "YREKA",
"state": "CA",
"postal_code": "960979553",
"telephone_number": "530-842-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONY",
"first_name": "SUSAN",
"credential": "MS, RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "462546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC REGISTRATION",
"identifier": "462546",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- 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.