Suzanne Hummel Smith, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN000297 Issued in PA

Practice address

589 Skippack Pike Ste 400
Blue Bell, PA 19422-2159

Phone

(215) 628-4444

NPI assigned

May 11, 2015

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1275911273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CORSLEY CT",
            "city": "MAPLE GLEN",
            "state": "PA",
            "postal_code": "190023137",
            "telephone_number": "215-669-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 SKIPPACK PIKE STE 400",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222159",
            "telephone_number": "215-628-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUZANNE",
        "middle_name": "HUMMEL",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN000297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103622820",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ira U Smith, MD
• Khadian Smith
• Laurance D Smith, MD
• Patrick Smith, MS, LPC
• Ryan Smith
• Tara Smith, DPT
• Courtney Snow
• Social Need Solutions
• Sound Sleep Solutions
• Karen Sox, PH.D.

• Registered Dietitian in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Registered Dietitian in Pennsylvania

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