Supersale Corporation

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DN004225 Issued in PA

Legal business name

SUPERSALE CORPORATION

Practice address

20111 Route 19
Cranberry Township, PA 16066-6207

Phone

(724) 772-1030

Fax

(724) 772-2841

NPI assigned

May 28, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katie Sipe, R.D. LDN

Title

Registed Dietitian

Phone

(724) 772-1030

Specialties & licenses 1

Addresses

Other names 1

• Giant Eagle #665 Doing business as

Locations

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1235541087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 ROUTE 19",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666207",
            "telephone_number": "724-772-1030",
            "fax_number": "724-772-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 ROUTE 19",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666207",
            "telephone_number": "724-772-1030",
            "fax_number": "724-772-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "SIPE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "REGISTED DIETITIAN",
        "authorized_official_telephone_number": "724-772-1030",
        "authorized_official_credential": "R.D.  LDN"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PA",
            "license": "DN004225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giant Eagle #665",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Streiff
• Brian William Stroia, PTA
• Hilary A Stroud, MD
• Mirka Sulc, O.D.
• Summit Performance and Physical Therapy, LLC
• Sustainable Lifestyle Management Inc
• Suzanne R. Lucot MD Psychiatric Services LLC
• David M Swan, M.D.
• Andrew William Swartz, M.D.
• Danielle Paige Swingle

• Metabolic Nutrition Registered Dietitian in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Metabolic Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.