Active NPI
Suzanne Marie Dietrich, RD
- Registered Dietitian
- Modesto, CA
National Provider Identifier
1780821710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1541 Florida Ave Ste 200
Modesto, CA 95350-4438 - Phone
- (209) 577-3388
- Fax
- (209) 527-2897
- NPI assigned
- Jan 13, 2009
- 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 | Primary |
Addresses
Primary practice location
1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Mailing address
1541 Florida Ave Ste 200
Modesto, CA 95350-4438
Phone (209) 577-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1541 Florida Ave
Suite 200
Modesto, CA 95350-4438
Phone (209) 577-3388
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 64.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Past | Accepting new patients | |
| Mark Twain Medical Center | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839
1541 Florida Ave
Ste 200
Modesto, CA 95350
Phone (209) 214-7053
Interoperability endpoints
- suzanne.dietrich.1@14035.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1780821710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE STE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504438",
"telephone_number": "209-577-3388",
"fax_number": "209-527-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 FLORIDA AVE STE 200",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504438",
"telephone_number": "209-577-3388",
"fax_number": "209-527-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICH",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.