Susan Louise Hennon, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

3 Issued in AK

Practice address

3245 Hospital Drive
Searhc
Juneau, AK 99801

Phone

(907) 364-4476

NPI assigned

Sep 6, 2011

Last updated

Sep 6, 2011By the provider in NPPES

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

Other identifiers 1

Other names 1

• Ms. Susan Thayer Hennon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1437430345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 BLUEBERRY HILLS RD S",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011989",
            "telephone_number": "907-364-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HOSPITAL DRIVE",
            "address_2": "SEARHC",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-364-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNON",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AK",
            "license": "3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA LICENSED DIETITIAN",
            "identifier": "3",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HENNON",
            "middle_name": "THAYER",
            "prefix": "MS.",
            "credential": "RD, LD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Scott W. Heaton, LMFT
• Sydney M Heimbigner
• Michael Helms Jr.
• April Henderson
• John B. Henley III
• Troy Henricksen
• Lee Henry, RN
• Rebecca N Herington
• Maria Arcilia Heritscko, LPN
• Dorothy V Hernandez, M.D.

• Registered Dietitian in Juneau, AK
• Providers in Juneau, AK by specialty
• Registered Dietitian in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.