Susan Reese, MS RDN CNSC CD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

8066413-4901 Issued in UT

Practice address

2147 E Pinnacle Terrace Way
Apt 103
Salt Lake City, UT 84121-5062

Phone

(801) 201-1850

NPI assigned

Nov 12, 2015

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1174996151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711913",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841711913",
            "telephone_number": "801-201-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 E PINNACLE TERRACE WAY",
            "address_2": "APT 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215062",
            "telephone_number": "801-201-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "SUSAN",
        "credential": "MS RDN CNSC CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "UT",
            "license": "8066413-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubree Rees
• Braden Rees
• Alexander John Reese, PHARMD
• Don L Reese, M.D.
• Kimberly Lynn Reese
• Thomas Reese
• Jacob Duane Reesor, DC
• Brooklyn Reeve
• Christine Susan Reeves
• Maylinda Rose Reeves, M.D.

• Pediatric Nutrition Registered Dietitian in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Nutrition Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.