Active NPI
Jeanette Sukhu, RD
- Registered Dietitian
- Wilmington, DE
National Provider Identifier
1659817096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DE-0000653
- Practice address
- 1802 W 4TH St
Wilmington, DE 19805-3420 - Phone
- (302) 224-6800
- Fax
- (302) 655-3541
- NPI assigned
- Jan 9, 2017
- 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 | DE-0000653 | DE | Primary |
Addresses
Primary practice location
1802 W 4TH St
Wilmington, DE 19805-3420
Mailing address
PO Box 151
New Castle, DE 19720-0151
Phone (302) 652-2455
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 |
|---|---|---|---|
| DE-0000653 | DE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1659817096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197200151",
"telephone_number": "302-652-2455",
"fax_number": "302-322-6251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 W 4TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198053420",
"telephone_number": "302-224-6800",
"fax_number": "302-655-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKHU",
"first_name": "JEANETTE",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-09",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DE",
"license": "DE-0000653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.