Susana De la Fuente, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

3020 Rucker Ave
Everett, WA 98201-3900

Phone

(425) 339-5200

NPI assigned

Jul 15, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1639787765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20347 NE 61ST CT",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980537824",
            "telephone_number": "832-339-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA FUENTE",
        "first_name": "SUSANA",
        "name_prefix": "Miss",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas B. De Chadenedes, MD
• Jasmijn De Jong, RN
• Randall Lee De Jong, ARNP
• Katrina De la Cruz, OTR/L
• Francisco Alexander De la Fuente, MD
• Ana Lynn P De la Rosa
• Therese Nicole De la Torre, RN
• Aina Alba Aitana De Lapparent
• Jessica A De Larwelle, MSW
• April Joy Ruiz De Leon, RDH

• Registered Dietitian in Everett, WA
• Providers in Everett, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.