Suzanne Stevens Weldon, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

963693 Issued in TX

Practice address

1102 W Iberian CT
Granbury, TX 76048-4374

Phone

(409) 363-3899

NPI assigned

Jun 5, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1710146634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W IBERIAN CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484374",
            "telephone_number": "409-363-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W IBERIAN CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484374",
            "telephone_number": "409-363-3899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Douglas Blvd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028307",
            "country_code": "US",
            "telephone_number": "903-593-1721",
            "fax_number": "903-592-5618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELDON",
        "first_name": "SUZANNE",
        "middle_name": "STEVENS",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "963693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220096601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lee Weeks
• David Allen Weissenburger, PH.D.
• Toni Renee Welch-Solsbery, MS CCC-SLP
• Katherine Bramlett Welch, PT, DPT
• Chad Edward Weldon, DO
• Patricia Susan Wendt Becker, PT
• Cheryl J. Wenner, CRNA
• West Wharton County Hospital District
• Valari Whatley
• Jeanne C Whisenant, B.S, NBC-HIS

• Registered Dietitian in Granbury, TX
• Providers in Granbury, TX by specialty
• Registered Dietitian in Texas

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

Verify at the official NPI Registry.