Active NPI
Suzanne Lynn Forsberg, RD, LD, CDE
- Registered Dietitian
- Claremore, OK
National Provider Identifier
1497192249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 818967
- Practice address
- 14500 S 4240 Rd
Claremore, OK 74017-1127 - Phone
- (918) 352-5201
- NPI assigned
- Jun 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 818967 | Primary | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | LD990 | OK | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 09720118 |
Addresses
Primary practice location
14500 S 4240 Rd
Claremore, OK 74017-1127
Mailing address
14500 S 4240 Rd
Claremore, OK 74017-1127
Phone (918) 352-5201
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD990 | OK | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1497192249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14500 S 4240 RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740171127",
"telephone_number": "918-352-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 S 4240 RD",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740171127",
"telephone_number": "918-352-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSBERG",
"first_name": "SUZANNE",
"middle_name": "LYNN",
"credential": "RD, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "818967",
"primary": true
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "OK",
"license": "LD990",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": null,
"license": "09720118",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.