Active NPI
Susan Noble, RD
- Registered Dietitian
- Roanoke, VA
National Provider Identifier
1740758051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5251 Concourse Dr
Roanoke, VA 24019-3081 - Phone
- (540) 904-2817
- NPI assigned
- Nov 5, 2018
- Last updated
- Nov 5, 2018
- 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 | NU | Primary |
Addresses
Primary practice location
5251 Concourse Dr
Roanoke, VA 24019-3081
Mailing address
8950 E Lowry Blvd
Denver, CO 80230-7030
Phone (303) 912-7193
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doug Hassenpflug PLLC | Past | Accepting new patients | |
| Innovage Virginia Pace - Roanoke Valley, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba InnovAge Virginia PACE - Roanoke Valley
- PACE Provider Organization
- Roanoke, VA
- NPI 1346684974
-
- Optometrist
- Brentwood, TN
- NPI 1285072207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1740758051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 E LOWRY BLVD",
"city": "DENVER",
"state": "CO",
"postal_code": "802307030",
"telephone_number": "303-912-7193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5251 CONCOURSE DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240193081",
"telephone_number": "540-904-2817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "SUSAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.