Susan J Smith, PHD, CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

515 W Grangeville Blvd
Hanford, CA 93230-2861

Phone

(928) 247-7309

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• My Diabetes Tutor Inc

  • Clinic/Center
  • Hanford, CA
  • NPI 1528601218
  NPD
• Central Valley Endocrinology, a Professional Corporation

  • Endocrinology, Diabetes & Metabolism Physician
  • Hanford, CA
  • NPI 1679767214
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1427686450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321669",
            "telephone_number": "559-587-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W GRANGEVILLE BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302861",
            "telephone_number": "928-247-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "PHD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas J Smith, NP
• Nikita Smith, FNP-C
• Patricia Alise Smith
• Rebecca Lashell Smith
• Richard David Smith, LMFT
• Alexis Smothers, RD, CDCES
• Yvette Marie Snow, CASE MANAGER II
• Sharon Sodersten
• Sojourn
• Danielle Solorio

• Nutrition Education Nutritionist in Hanford, CA
• Providers in Hanford, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.