Susgen Health Network Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND3521 Issued in FL

Legal business name

SUSGEN HEALTH NETWORK INC.

Practice address

100 Waterway Dr S Apt 203
Lantana, FL 33462-1827

Phone

(561) 758-1734

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan B. Peacock, M.S.R.DNPI 1699816504

Title

Owner

Phone

(561) 758-1734

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Peacock, M.S.,R.D.,LDN

  • Registered Dietitian
  • Boynton Beach, FL
  • NPI 1699816504

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1750580767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WATERWAY DR S APT 203",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621827",
            "telephone_number": "561-758-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WATERWAY DR S APT 203",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621827",
            "telephone_number": "561-758-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSGEN HEALTH NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-758-1734",
        "authorized_official_credential": "M.S.R.D"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND3521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Kay Stauffer, RN, BSN, WHNP-BC
• Nathaniel Gunn Stuart, LCSW
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• Leah Marie Syberg, MS, RMHCI
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• Joan Dianne Szymberski
• Anita Tarvainen, ARNP
• Thattherapygirl LLC

• Registered Dietitian in Lantana, FL
• Providers in Lantana, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.