Individual provider Active NPI

Susan Dade, RD

  • Registered Dietitian
  • Artesia, NM
National Provider Identifier
1356306237
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
103 Issued in NM
Practice address
606 N 13TH St Ste 300
Artesia, NM 88210-1133
Phone
(575) 736-8233
NPI assigned
Apr 20, 2006
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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 103 NM Primary

Addresses

Primary practice location

606 N 13TH St Ste 300
Artesia, NM 88210-1133

Mailing address

702 N 13TH St
Artesia, NM 88210-1199
Phone (575) 748-3333

Other practice location 1

617 W Pierce St
Carlsbad, NM 88220-5240
Phone (505) 887-8183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address multispecialty@artesiageneral.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000352 NM Practitioner - Registered Dietitian Or Nutrition Professional 4880653898 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince May 7, 2017 Accepting new patients
Artesia General Hospital CurrentSince May 7, 2017 Accepting new patients
Artesia General Hospital Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

606 N 13th St
Ste 300
Artesia, NM 88210
Phone (575) 736-8233

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

712 N 13TH St
Artesia, NM 88210

712 N 13TH St
Artesia, NM 88210
Phone (575) 748-8000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1356306237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101199",
            "telephone_number": "575-748-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 13TH ST STE 300",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101133",
            "telephone_number": "575-736-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 W Pierce St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205240",
            "country_code": "US",
            "telephone_number": "505-887-8183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADE",
        "first_name": "SUSAN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "multispecialty@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "606 N 13th St Ste 300",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.