Active NPI
Sue C Lischuk
- Registered Dietitian
- Downingtown, PA
National Provider Identifier
1669846945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1102177
- Practice address
- 341 East Lancaster Avenue
2ND Floor East
Downingtown, PA 19335 - Phone
- (484) 876-1447
- NPI assigned
- Nov 24, 2015
- 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 | 1102177 | PA | Primary |
Addresses
Primary practice location
341 East Lancaster Avenue
2ND Floor East
Downingtown, PA 19335
Mailing address
341 East Lancaster Avenue
2ND Floor East
Downingtown, PA 19335
Phone (484) 876-1447
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 |
|---|---|---|---|
| 1102177 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sue Lischuk Rd LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
341 E Lancaster Ave
Ste 2
Downingtown, PA 19335
Phone (484) 876-1447
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1669846945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 EAST LANCASTER AVENUE",
"address_2": "2ND FLOOR EAST",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "19335",
"telephone_number": "484-876-1447",
"fax_number": "484-848-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 EAST LANCASTER AVENUE",
"address_2": "2ND FLOOR EAST",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "19335",
"telephone_number": "484-876-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISCHUK",
"first_name": "SUE",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "1102177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.