Active NPI
Susan Vargo Dvorak, RD, LD
- Registered Dietitian
- Cincinnati, OH
National Provider Identifier
1477588275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1228
- Practice address
- 2139 Auburn Ave
Cincinnati, OH 45219-2906 - Phone
- (513) 585-2283
- Fax
- (513) 585-3033
- NPI assigned
- Jul 11, 2006
- 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 | 1228 | OH | Primary |
Addresses
Primary practice location
2139 Auburn Ave
Cincinnati, OH 45219-2906
Mailing address
9155 Peachblossom CT
Cincinnati, OH 45231-4811
Phone (513) 931-9033
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477588275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9155 PEACHBLOSSOM CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452314811",
"telephone_number": "513-931-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 AUBURN AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-585-2283",
"fax_number": "513-585-3033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORAK",
"first_name": "SUSAN",
"middle_name": "VARGO",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "1228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.