Lisa Joan Hunsucker, R.D., CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005599-1 Issued in NY

Practice address

998 Crooked Hill Rd
BLDG. 83 Dietary Dept.
W Brentwood, NY 11717-1019

Phone

(631) 761-2572

Fax

(631) 761-2973

NPI assigned

Jan 10, 2011

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1578867222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BLDG. 83 DIETARY DEPT.",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-2572",
            "fax_number": "631-761-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BLDG. 83 DIETARY DEPT.",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-761-2572",
            "fax_number": "631-761-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSUCKER",
        "first_name": "LISA",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "R.D., CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005599-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madiannithe Pierre Francois, MSED, RD, CDN
• Lillian Graziano, M.S.W.
• Corey Michael Hardiman, RN
• Andrea D Hawkins, BA.,MSW
• Souyung Hsiao
• Alicekutty Nelpura John, M.D
• Robert F Malcomson, R.N.
• Alan N Meisel, MD
• Remedios Valencia Mendegorin, M.D.
• Vicki O'Brien, LCSW

• Registered Dietitian in W Brentwood, NY
• Providers in W Brentwood, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.