Susan J Vannucci, PHD, RD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

716153

Practice address

315 W 106TH St Apt 3D
New York, NY 10025-3473

Phone

(212) 932-1727

NPI assigned

Jun 6, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244246400000",
    "number": "1184850950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 106TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253473",
            "telephone_number": "212-932-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 106TH ST APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253473",
            "telephone_number": "212-932-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNUCCI",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2009-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": "716153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "716153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Seth Vann Jr., O.D.
• Elizabeth Vann
• Jessica Robin Vanname, PA-C
• Andrea Bragdon Vannelli, DAC, LAC
• Kathlene CM Vannoy, FNP
• Maija Elizabeth Vanravenswaay, LMSW
• Sarah Haseltine Vantassel, MD
• Katherine Marlene Vanterpool
• Shantell P Vanterpool, M.S.ED.
• Victoria Helen Vanthunen, FNP-BC

• Metabolic Nutrition Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Metabolic Nutrition Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; 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.