Susan Ann Mazrolle, MSRD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1316 Issued in MA

Practice address

27 Winsor St
Ludlow, MA 01056-3491

Phone

(413) 531-3490

NPI assigned

Aug 21, 2017

Last updated

Jul 21, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407372519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WINSOR ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563491",
            "telephone_number": "413-531-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WINSOR ST",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563491",
            "telephone_number": "413-531-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZROLLE",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSRD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ainsly Oliver Manning, PA
• Renee Maroney, COTA/L
• Anne L Martin, LICSW
• Camille Martinez, LPN
• David Stanley Masztal, DC
• Cynthia McCahon, NP
• Brandon McCarthy, PA-C
• Kimberly McCarthy
• Lynn M McColgan, PA
• Steve J. McDaniel, D.D.S.

• Registered Dietitian in Ludlow, MA
• Providers in Ludlow, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.