Patricia Nolan Suskin, R.D., C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

491097 Issued in WA

Practice address

90 SE Klah-Che-Min Dr.
Shelton, WA 98584

Phone

(360) 432-3929

Fax

(360) 427-1951

NPI assigned

Dec 11, 2006

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

Practice roles

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.

• Squaxin Island Tribe

  • Clinic/Center
  • Shelton, WA
  • NPI 1669532578
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649330804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 54TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-432-3929",
            "fax_number": "360-427-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SE KLAH-CHE-MIN DR.",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-432-3929",
            "fax_number": "360-427-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSKIN",
        "first_name": "PATRICIA",
        "middle_name": "NOLAN",
        "name_prefix": "Ms.",
        "credential": "R.D.,  C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "491097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Shiree Strom
• Astiana Marie Stults, PA-C
• Aubrie Stymacks, LMP
• Angela Suits
• Joan Summers, LMP
• Martha J Svoboda, MA, LMHCA
• Debra Swanson, ND
• John Benjamin Takagi
• Tony Talacko, MSW
• Craig H Tavis, RPH

• Registered Dietitian in Shelton, WA
• Providers in Shelton, 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 8, 2007; 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.