NPIMap

Organization Active NPI

Supersale Corporation

Doing business as Giant Eagle #665

  • Metabolic Nutrition Registered Dietitian
  • Cranberry Township, PA
National Provider Identifier
1235541087
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DN004225 Issued in PA
Legal business name
SUPERSALE CORPORATION
Doing business as
Giant Eagle #665
Practice address
20111 Route 19
Cranberry Township, PA 16066-6207
Phone
(724) 772-1030
Fax
(724) 772-2841
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Katie Sipe, R.D. LDNNPI 1114207073
Title
Registed Dietitian
Phone
(724) 772-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1006X DN004225 PA Primary

Addresses

Primary practice location

20111 Route 19
Cranberry Township, PA 16066-6207

Mailing address

20111 Route 19
Cranberry Township, PA 16066-6207
Phone (724) 772-1030

Other names 1

  • Giant Eagle #665 Doing business as

National Provider Directory

National Provider Directory

Locations

20111 Route 19
Cranberry Twp, PA 16066
Phone (724) 741-0900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Cranberry Township, PA

Sources for this page

  • 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.