Active NPI
Susan Elizabeth Gilbert, RD, LDN, CSO
- Registered Dietitian
- Hershey, PA
National Provider Identifier
1720629322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN004013
- Practice address
- 905 W Governor Rd
Hershey, PA 17033-2307 - Phone
- (717) 531-7235
- Fax
- (717) 531-0067
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN004013 | PA | MD | Registered Dietitian |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | 723912 | ||
| Registered Dietitian | 133V00000X | DN004013 | PA | Primary |
Addresses
Primary practice location
905 W Governor Rd
Hershey, PA 17033-2307
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455
Other practice location 1
121 N Nyes Rd Ste D
Harrisburg, PA 17112-3248
Phone (717) 531-8674
NPI Registry JSON
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1720629322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W GOVERNOR RD",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332307",
"telephone_number": "717-531-7235",
"fax_number": "717-531-0067"
}
],
"practiceLocations": [
{
"address_1": "121 N Nyes Rd Ste D",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171123248",
"country_code": "US",
"telephone_number": "717-531-8674",
"fax_number": "717-531-0401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILBERT",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "RD, LDN, CSO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": null,
"license": "723912",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN004013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.