Active NPI
Julie Suckow, R.D.
- Registered Dietitian
- Wenatchee, WA
National Provider Identifier
1396010666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI61514909
- Practice address
- 1737 N Wenatchee Ave Ste E
Wenatchee, WA 98801-1189 - Phone
- (702) 569-7782
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI61514909 | WA | Primary |
Addresses
Primary practice location
1737 N Wenatchee Ave Ste E
Wenatchee, WA 98801-1189
Mailing address
1710 Country Club Dr
E Wenatchee, WA 98802-4231
Phone (702) 569-7782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1737 N Wenatchee Ave
Suite E
Wenatchee, WA 98801-1189
Phone (509) 645-2079
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI61514909 | WA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 509 Nutrition & Diabetes Care, PLLC | Dietitian, Registered | Current | Accepting new patients |
| Mullen Family Chiropractic PLLC | Current | Accepting new patients | |
| Nutrition by Joey, LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1737 N Wenatchee Ave
Ste E
Wenatchee, WA 98801
Phone (509) 645-2079
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 and National Provider Directory roles.
-
- Registered Dietitian
- Wenatchee, WA
- NPI 1134984933
Dietitian, Registered
-
- Registered Dietitian
- Las Vegas, NV
- NPI 1124553375
-
- Chiropractor
- Wenatchee, WA
- NPI 1720773856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1396010666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 COUNTRY CLUB DR",
"city": "E WENATCHEE",
"state": "WA",
"postal_code": "988024231",
"telephone_number": "702-569-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1737 N WENATCHEE AVE STE E",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011189",
"telephone_number": "702-569-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCKOW",
"first_name": "JULIE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI61514909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.