Active NPI
Susan Gayle Newbold, R.D., L.D., C.N.S.D.
- Registered Dietitian
- Olathe, KS
National Provider Identifier
1518014232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000491
- Practice address
- 20333 W 151St St
Olathe, KS 66061-5350 - Phone
- (913) 791-4371
- NPI assigned
- Jan 4, 2007
- 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 | 000491 | KS | Primary |
Addresses
Primary practice location
20333 W 151St St
Olathe, KS 66061-5350
Mailing address
13620 King St
Apartment 926
Overland Park, KS 66221-8107
Phone (913) 851-3991
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 |
|---|---|---|---|
| 000491 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518014232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 KING ST",
"address_2": "APARTMENT 926",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662218107",
"telephone_number": "913-851-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20333 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615350",
"telephone_number": "913-791-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBOLD",
"first_name": "SUSAN",
"middle_name": "GAYLE",
"credential": "R.D., L.D., C.N.S.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "000491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
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.