Susan Emily Polgreen, MS, RD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

074.0134137 Issued in VT

Practice address

366 Dorset St Ste 10
South Burlington, VT 05403-4479

Phone

(802) 999-9207

NPI assigned

Apr 29, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Whole Health Nutrition, PLLCGroup PAC ID 9537382932, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Whole Health Nutrition, PLLC

  • Registered Dietitian
  • Colchester, VT
  • NPI 1205103017

  Dietitian, Registered, VT

  Medicare reassignment Care Compare group NPD
• Elite Health and Wellness LLC

  • Physical Therapist
  • Saint Albans, VT
  • NPI 1164722716
  NPD (past)

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1508420134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 LITTLE EAGLE BAY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 DORSET ST STE 10",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054034479",
            "telephone_number": "802-999-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLGREEN",
        "first_name": "SUSAN",
        "middle_name": "EMILY",
        "credential": "MS, RD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0134137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Pitcher, M.D.
• Gina Plasse
• Leeann Podruch, DDS
• Amy Yvonne Poland, LCMHC
• Chelsea Poland, LCMHC
• Alice Kristina Pollvogt, MA
• Lizabeth Jane Pontzer, M.D.
• Megan Poor, LICSW
• Anisa Potvin, LADC
• Poulin Performance, Inc.

• All providers in South Burlington, VT
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.