Active NPI
Susan Elizabeth Resneck-Fisch, MS, RD, LD
- Registered Dietitian
- Albuquerque, NM
National Provider Identifier
1447547690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-0691
- Practice address
- University of New Mexico 1 University of NM
Building 73, Msc06 3870
Albuquerque, NM 87131-0001 - Phone
- (505) 277-1074
- Fax
- (505) 277-2020
- NPI assigned
- Jul 7, 2011
- 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 | LD-0691 | NM | Primary |
Addresses
Primary practice location
University of New Mexico 1 University of NM
Building 73, Msc06 3870
Albuquerque, NM 87131-0001
Mailing address
University of New Mexico 1 University of NM
Building 73, Msc06 3870
Albuquerque, NM 87131-0001
Phone (505) 277-1074
Other names 1
- Susan Elizabeth Resneck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-0691 | NM | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health and Counseling | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1750550067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1447547690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NEW MEXICO 1 UNIVERSITY OF NM",
"address_2": "BUILDING 73, MSC06 3870",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-277-1074",
"fax_number": "505-277-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NEW MEXICO 1 UNIVERSITY OF NM",
"address_2": "BUILDING 73, MSC06 3870",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-277-1074",
"fax_number": "505-277-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNECK-FISCH",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "RESNECK",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.