Individual provider Active NPI

Suzanne Pirkle, MA,RD,LD

  • Registered Dietitian
  • Vestavia, AL
National Provider Identifier
1346646569
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1807 Issued in AL
Practice address
4126 Autumn LN
Vestavia, AL 35243-5209
Phone
(205) 317-4111
Fax
(205) 536-6223
NPI assigned
Nov 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1807 AL Primary

Addresses

Primary practice location

4126 Autumn LN
Vestavia, AL 35243-5209

Mailing address

4126 Autumn LN
Vestavia, AL 35243-5209
Phone (205) 317-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1807ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition by Ashlynn Dietitian, Registered Past Accepting new patients
Nutrifocus PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1346646569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 AUTUMN LN",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435209",
            "telephone_number": "205-317-4111",
            "fax_number": "205-536-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 AUTUMN LN",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435209",
            "telephone_number": "205-317-4111",
            "fax_number": "205-536-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRKLE",
        "first_name": "SUZANNE",
        "credential": "MA,RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.