Active NPI
Heather A. Suders, RD
- Registered Dietitian
- Warrenton, VA
National Provider Identifier
1639456965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- T62063956
- Practice address
- 52 W Shirley Ave
Warrenton, VA 20186-3008 - Phone
- (540) 347-9298
- Fax
- (540) 347-0492
- NPI assigned
- Nov 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | T62063956 | VA | Primary |
Addresses
Primary practice location
52 W Shirley Ave
Warrenton, VA 20186-3008
Mailing address
52 W Shirley Ave
Warrenton, VA 20186-3008
Phone (540) 347-9298
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T62063956 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1639456965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 W SHIRLEY AVE",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863008",
"telephone_number": "540-347-9298",
"fax_number": "540-347-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W SHIRLEY AVE",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201863008",
"telephone_number": "540-347-9298",
"fax_number": "540-347-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDERS",
"first_name": "HEATHER",
"middle_name": "A.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "T62063956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.