Individual provider Active NPI

Suzanne McLay, RD

  • Registered Dietitian
  • Redlands, CA
National Provider Identifier
1750573879
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
942853 Issued in CA
Practice address
700 E Redlands Blvd
#U-190
Redlands, CA 92373-6143
Phone
(909) 335-9350
Fax
(909) 335-9591
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 942853 CA Primary
Renal Nutrition Registered Dietitian 133VN1005X 942853 CA
Metabolic Nutrition Registered Dietitian 133VN1006X 942853 CA

Addresses

Primary practice location

700 E Redlands Blvd
#U-190
Redlands, CA 92373-6143

Mailing address

700 E Redlands Blvd
#U-190
Redlands, CA 92373-6143

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

LicenseStateTypeSpecialty
942853CAMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1750573879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD",
            "address_2": "#U-190",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E REDLANDS BLVD",
            "address_2": "#U-190",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736143",
            "telephone_number": "909-335-9350",
            "fax_number": "909-335-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAY",
        "first_name": "SUZANNE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "942853",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "942853",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "CA",
            "license": "942853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.