Susan Ahlberg, RD
Individual provider Active NPI Registered Dietitian · Louisville, CO
NPI 1609217124 · NPPES record last updated Mar 12, 2015
Key facts
- NPI
- 1609217124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86012863 (CO)
- Practice address
- 100 Health Park Dr
Louisville, CO 80027-9583 - Phone
- (303) 673-1000
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86012863 | CO | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86012863 | CO | Yes |
Addresses
Primary practice location
100 Health Park Dr
Louisville, CO 80027-9583
Mailing address
100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 673-1000
Other names
- Susan Ganster
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All providers in Louisville, CO · Registered Dietitian in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.