Active NPI
Susanna Nolt, CNA,NHC
- Nutrition Education Nutritionist
- Mohnton, PA
National Provider Identifier
1730548751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 774 Fairmont Ave
Mohnton, PA 19540-1338 - Phone
- (610) 927-5136
- Fax
- (610) 927-5136
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | PA | Primary |
Addresses
Primary practice location
774 Fairmont Ave
Mohnton, PA 19540-1338
Mailing address
774 Fairmont Ave
Mohnton, PA 19540-1338
Phone (610) 927-5136
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1730548751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 FAIRMONT AVE",
"city": "MOHNTON",
"state": "PA",
"postal_code": "195401338",
"telephone_number": "610-927-5136",
"fax_number": "610-927-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 FAIRMONT AVE",
"city": "MOHNTON",
"state": "PA",
"postal_code": "195401338",
"telephone_number": "610-927-5136",
"fax_number": "610-927-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLT",
"first_name": "SUSANNA",
"credential": "CNA,NHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mohnton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.