Susan J. Stevensen, M.ED., LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

L001615 Issued in NC

Practice address

2209 Jackson Town Rd
Spruce Pine, NC 28777-5637

Phone

(828) 765-4365

NPI assigned

Mar 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Natus Peloton Incorporated

  • General Practice Physician
  • Orlando, FL
  • NPI 1912332198
  NPD

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1316212079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 JACKSON TOWN RD",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287775637",
            "telephone_number": "828-765-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 JACKSON TOWN RD",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287775637",
            "telephone_number": "828-765-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSEN",
        "first_name": "SUSAN",
        "middle_name": "J.",
        "credential": "M.ED., LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L001615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spruce Pine Emergency Services PLLC
• Spruce Pine Pharmacy Inc
• SSC Spruce Pine Operating Company LLC (Brian Center Health & Rehabilitation - Spruce Pine)
• M. Merikaton Feaver Stella, M.D.
• Steve Hill MD PC
• Joanna Miller Storey, M.D.
• Susan T Snider, M.D., P.a.
• Amelia Tan
• Tate Clinic, PA
• Taylor F. Townsend, DDS, PLLC

• Nutritionist in Spruce Pine, NC
• Providers in Spruce Pine, NC by specialty
• Nutritionist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.