Individual provider Active NPI

Diana Kate Sugiuchi, RD/LDN, CNSD

  • Registered Dietitian
  • Towson, MD
National Provider Identifier
1174854533
Registry record updated Apr 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX2754 Issued in MD
Practice address
8415 Bellona LN Ste 213
Towson, MD 21204-2066
Phone
(410) 370-0415
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2022

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 DX2754 MD Primary

Addresses

Primary practice location

8415 Bellona LN Ste 213
Towson, MD 21204-2066

Mailing address

1 Via Summa
Santa Fe, NM 87507-8071
Phone (410) 370-0415

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DX2754MDMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648944000000",
    "number": "1174854533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VIA SUMMA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875078071",
            "telephone_number": "410-370-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 213",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "410-370-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIUCHI",
        "first_name": "DIANA",
        "middle_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "RD/LDN, CNSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2022-04-03",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2022; 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.