Marisa Nicole Suter, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT85086 Issued in TX

Practice address

646 S Flores St
San Antonio, TX 78204-1219

Phone

(210) 938-8000

NPI assigned

Mar 31, 2020

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)

Enrolled

State licenses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1205464682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "210-938-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S FLORES ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041219",
            "telephone_number": "210-938-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTER",
        "first_name": "MARISA",
        "middle_name": "NICOLE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT85086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Susser, IOM
• Ilona Sussner
• Javier Sustaita
• Maria Adriana Sustayta, PA
• Joseph Sutcliffe, M.D.
• Chad Wayne Sutherland, ATC, LAT
• Ellen Wood Sutherland, M.D.
• Hannah Sutherland, DDS
• Linda Brown Sutherland, RN
• Melissa Sutherland, M.ED., L.P.C.

• Registered Dietitian in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.