Debra Lynn Amick-Suess, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

706587 Issued in CA

Practice address

47923 Oasis St
Indio, CA 92201-9788

Phone

(760) 863-8265

Fax

(760) 863-8598

NPI assigned

Jan 15, 2008

Last updated

Jan 15, 2008By the provider in NPPES

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 identifiers 2

Other names 1

• Debra Lynn Suess Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1497931885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7849",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47923 OASIS ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019788",
            "telephone_number": "760-863-8265",
            "fax_number": "760-863-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICK-SUESS",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "RD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "706587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBDE",
            "identifier": "2041-0395",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "706587",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "SUESS",
            "middle_name": "LYNN",
            "credential": "RD, CDE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Albert R Anderson III, MD

• Registered Dietitian in Indio, CA
• Providers in Indio, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.