Susie Fox, MS RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI 60181116 Issued in WA

Practice address

4026 224TH St SE#6
Bothell, WA 98021

Phone

(425) 368-8170

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By 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 3

Addresses

Other names 1

• Ms. Susanne Fox Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1669749891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 224TH ST SE#6",
            "address_2": "FOX IN THE KITCHEN",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-368-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 224TH ST SE#6",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-368-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "SUSIE",
        "name_prefix": "Ms.",
        "credential": "MS RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI 60181116",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI 60181116",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "DI 60181116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNE",
            "last_name": "FOX",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Iris Forcier, LMP
• Carolyn Forrester
• Ellen Forslund, D.P.T.
• Marc Fowler
• Amanda Hope Fox, LMHCA
• Makaila Foy
• Edniqua Fraser
• Fred Meyer Stores Inc (QFC Pharmacy)
• Fred Meyer Stores Inc (Fred Meyer Pharmacy)
• Julia P Fredrickson, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.