Susan Generose, R.D.

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

DN000681 Issued in PA

Practice address

135 Lafayette Ave
Palmerton, PA 18071-1518

Phone

(610) 826-1150

Fax

(610) 826-1211

NPI assigned

Aug 18, 2011

Last updated

Aug 18, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1578843827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HERITAGE CIR",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182022905",
            "telephone_number": "570-401-5345",
            "fax_number": "610-826-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LAFAYETTE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711518",
            "telephone_number": "610-826-1150",
            "fax_number": "610-826-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENEROSE",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "PA",
            "license": "DN000681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker John Everett
• Victoria Fedor, M.A.
• Amy Elizabeth Forte, MPT
• Bonnie Louise Fritz, LPN
• Garry M Carbone MD PC
• Rhyan A Goldsmith
• Kelly Ann Gombert, RDN, LDN
• Laura M Gower, PA-C
• Rachel Elizabeth Greene, LSW
• Barbara Greenzweig

• Metabolic Nutrition Registered Dietitian in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Metabolic Nutrition Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.