Individual provider Active NPI

Susan Welch, RDN, LDN

  • Registered Dietitian
  • Nashville, TN
National Provider Identifier
1366968596
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
875997 Issued in IL
Practice address
2021 Richard Jones Rd Ste 350B
Nashville, TN 37215
Phone
(615) 988-4255
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1035 TN
Registered Dietitian 133V00000X 875997 IL Primary

Addresses

Primary practice location

2021 Richard Jones Rd Ste 350B
Nashville, TN 37215

Mailing address

2021 Richard Jones Rd Ste 350B
Nashville, TN 37215-2871
Phone (615) 988-4255

Other practice location 1

4235 Hillsboro Pike Ste 300
Nashville, TN 37215-3344
Phone (615) 988-4255

Other practice location 2

2021 Richard Jones Rd Ste 350B
Nashville, TN 37215
Phone (615) 988-4255

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

State licenses

LicenseStateTypeSpecialty
875997ILMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1366968596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD STE 350B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152871",
            "telephone_number": "615-988-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD STE 350B",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-988-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Hillsboro Pike Ste 300",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372153344",
            "country_code": "US",
            "telephone_number": "615-988-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Richard Jones Rd Ste 350B",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37215",
            "country_code": "US",
            "telephone_number": "615-988-4255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TN",
            "license": "1035",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "875997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.