Active NPI
Gloria Asantewah Sasu
- Registered Dietitian
- Laurel, MD
National Provider Identifier
1629660030
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 8204 Gorman Ave Apt 149
Laurel, MD 20707-2514 - Phone
- (301) 821-7039
- NPI assigned
- Feb 7, 2021
- Last updated
- Feb 7, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Registered Dietitian | 133V00000X | NU | Primary | |
| Midwife | 176B00000X | NU | ||
| Military Health Care Provider | 171000000X | NU | ||
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
8204 Gorman Ave Apt 149
Laurel, MD 20707-2514
Mailing address
8204 Gorman Ave 149
Laurel, MD 20707
Phone (301) 821-7039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000 | Other | WA | DOD |
Other names 1
- Miss Gloria Asantewah Sasu
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612656000000",
"number": "1629660030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 GORMAN AVE 149",
"city": "LAUREL",
"state": "MD",
"postal_code": "20707",
"telephone_number": "301-821-7039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 GORMAN AVE APT 149",
"city": "LAUREL",
"state": "MD",
"postal_code": "207072514",
"telephone_number": "301-821-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASU",
"first_name": "GLORIA",
"middle_name": "ASANTEWAH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-07",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOD",
"identifier": "00000000",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GLORIA",
"last_name": "SASU",
"middle_name": "ASANTEWAH",
"prefix": "MISS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.