Active NPI
Susan Duddy
- Registered Dietitian
- Concord, NH
National Provider Identifier
1225255508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 114
- Practice address
- 253 Pleasant St
Concord, NH 03301-7560 - Phone
- (603) 227-7101
- Fax
- (603) 228-7251
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 114 | NH | Primary |
Addresses
Primary practice location
253 Pleasant St
Concord, NH 03301-7560
Mailing address
253 Pleasant St
Concord, NH 03301-7560
Phone (603) 227-7101
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114 | NH | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH DHC Inc | 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.
-
- Family Medicine Physician
- Concord, NH
- NPI 1083654941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225255508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017560",
"telephone_number": "603-227-7101",
"fax_number": "603-228-7251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017560",
"telephone_number": "603-227-7101",
"fax_number": "603-228-7251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDDY",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
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.