Susan Kay Pacific, RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

958 Issued in OK

Practice address

3400 W Tecumseh Rd
Ste 206
Norman, OK 73072-1810

Phone

(405) 307-5731

Fax

(405) 307-3719

NPI assigned

Apr 12, 2007

Reactivated

Jan 23, 2025

Sex

Female

Sole proprietor

No

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.

• Norman Regional Providers Primary Care

  • Family Medicine Physician
  • Norman, OK
  • NPI 1548398274
  NPD (past)
• NRHS Health and Wellness Services

  • Registered Dietitian
  • Norman, OK
  • NPI 1659769784

  Dietitian, Registered

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2025.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1609090372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701330",
            "telephone_number": "405-307-6630",
            "fax_number": "405-307-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD",
            "address_2": "STE 206",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-307-5731",
            "fax_number": "405-307-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIFIC",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-01-23",
        "deactivation_date": "2023-06-14",
        "reactivation_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Ozinga, M.D.
• Raphael Iriafe Ozoya
• P & S Healthcare Systems Inc
• Yok Fong Paat, M.S.W.
• Esmeralda Pacheco
• Jordyn Packard
• Miguel Antonio Padilla Pimentel, MD
• Evaren Elizabeth Mary Page, BA, CM, PSRS
• Sasipha Pahamark, APRN
• Tiffany Palazzolo

• All providers in Norman, OK
• Registered Dietitian in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.