Active NPI
Susan Ellen Lewis, RD
- Nutrition Education Nutritionist
- Quincy, MA
National Provider Identifier
1649355322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 1281
- Practice address
- 114 Whitwell St
Quincy Medical Center, Food and Nutrition Dept
Quincy, MA 02169-1870 - Phone
- (617) 376-5386
- Fax
- (671) 376-7605
- NPI assigned
- Oct 25, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 1281 | MA | Primary |
| Registered Dietitian | 133V00000X | 1281 | MA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 1281 | MA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 1281 | MA |
Addresses
Primary practice location
114 Whitwell St
Quincy Medical Center, Food and Nutrition Dept
Quincy, MA 02169-1870
Mailing address
114 Whitwell St
Quincy Medical Center, Food and Nutrition Dept
Quincy, MA 02169-1870
Phone (617) 376-5386
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649355322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"address_2": "QUINCY MEDICAL CENTER, FOOD AND NUTRITION DEPT",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "617-376-5386",
"fax_number": "671-376-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 WHITWELL ST",
"address_2": "QUINCY MEDICAL CENTER, FOOD AND NUTRITION DEPT",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691870",
"telephone_number": "617-376-5386",
"fax_number": "671-376-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SUSAN",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MA",
"license": "1281",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "1281",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "MA",
"license": "1281",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MA",
"license": "1281",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.