Susan Kay Gleaton, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

607418 Issued in TX

Practice address

355 County Road 212
Gainesville, TX 76240-1848

Phone

(940) 736-1019

Fax

(940) 612-4825

NPI assigned

Oct 25, 2011

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

Other names 1

• Susan Kay Mickey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447536222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 COUNTY ROAD 212",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762401848",
            "telephone_number": "940-736-1019",
            "fax_number": "940-612-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 COUNTY ROAD 212",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762401848",
            "telephone_number": "940-736-1019",
            "fax_number": "940-612-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEATON",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "607418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MICKEY",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Riley Erin Godsey, RN
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• Karen Dorene Hacker
• Michelle Hacker, FNP-C

• Registered Dietitian in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Registered Dietitian in Texas

• 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.