Active NPI
Susan Ann O'Donnell, RD,LDN
- Registered Dietitian
- Allentown, PA
National Provider Identifier
1477823094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN 001427
- Practice address
- 1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103-6268 - Phone
- (610) 402-5000
- Fax
- (610) 402-4078
- NPI assigned
- Jan 12, 2012
- 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 | DN 001427 | PA | Primary |
Addresses
Primary practice location
1243 S Cedar Crest Blvd
Ste 2200
Allentown, PA 18103-6268
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 001427 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1477823094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 S CEDAR CREST BLVD",
"address_2": "STE 2200",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036268",
"telephone_number": "610-402-5000",
"fax_number": "610-402-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "SUSAN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RD,LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN 001427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.