Susan Carol Vendeland, PHD, MPH

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

NU 60407817 Issued in WA

Practice address

10519 District Line Rd
Burlington, WA 98233-9789

Phone

(360) 335-3002

NPI assigned

May 23, 2014

Last updated

May 23, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1669884755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10519 DISTRICT LINE RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982339789",
            "telephone_number": "360-335-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10519 DISTRICT LINE RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982339789",
            "telephone_number": "360-335-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENDELAND",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": "NU 60407817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather E Tyree, LMT
• Amy J Unger, LMT
• Gurubani Whitney A Van Boven, LMT
• Kirsten Van Wingerden
• Darlene Marie Vander Schuur, BA
• Veronica Villalobos
• Vision Plus Burlington, PLLC (Vision Plus)
• Richard A Volwiler, DDS, MSD
• Curtis K Wade, DDS
• Eva Marie Wagoner, LMT

• Nutrition Education Nutritionist in Burlington, WA
• Providers in Burlington, WA by specialty
• Nutrition Education Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.