Active NPI
Suzanne D Lee, RD
- Renal Nutrition Registered Dietitian
- Berkeley, CA
National Provider Identifier
1306314828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- Practice address
- 2905 Telegraph Ave
Berkeley, CA 94705-2017 - Phone
- (510) 841-4525
- Fax
- (510) 848-9970
- NPI assigned
- Nov 2, 2018
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | Primary |
Addresses
Primary practice location
2905 Telegraph Ave
Berkeley, CA 94705-2017
Mailing address
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.19 of 100
- Quality
- 62.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1306314828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUZANNE",
"middle_name": "D",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.