Susan Lynn Siegfreid, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

6517478-1205 Issued in UT

Practice address

1279 W 3000 S
Perry, UT 84302-6712

Phone

(801) 928-4798

NPI assigned

Jul 25, 2006

Last updated

May 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1386667335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 N. WASHINGTON BLVD. #132",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844140000",
            "telephone_number": "801-928-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 W 3000 S",
            "city": "PERRY",
            "state": "UT",
            "postal_code": "843026712",
            "telephone_number": "801-928-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGFREID",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2000171366",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "98-01771",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "97-144",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "6517478-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891178H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry Dental
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• Kristie Perry
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• Paul Edward Reed, O.D.
• John Joseph Torghele, DMD
• Curtis D. Wahlen, D.M.D.
• Jennifer L. Wahlen, D.M.D.
• Wal-Mart Stores, Inc (Vision Center 30-3454)
• Walmart Inc.

• Psychiatry Physician in Perry, UT
• Providers in Perry, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.