Individual provider Active NPI

Olga Suchshinskaya, M.S., R.D.

  • Registered Dietitian
  • Indianapolis, IN
National Provider Identifier
1790046936
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1049442 Issued in IN
Practice address
2045 Rama Dr Ste 200
Indianapolis, IN 46219-1710
Phone
(765) 414-7319
Fax
(317) 635-0449
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1049442 IN Primary

Addresses

Primary practice location

2045 Rama Dr Ste 200
Indianapolis, IN 46219-1710

Mailing address

2045 Rama Dr Ste 200
Indianapolis, IN 46219-1710
Phone (765) 414-7319

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1049442INMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Neurohealth of Indianapolis Inc Past Accepting new patients
Neurohealth LTD 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1790046936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 RAMA DR STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191710",
            "telephone_number": "765-414-7319",
            "fax_number": "317-635-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 RAMA DR STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462191710",
            "telephone_number": "765-414-7319",
            "fax_number": "317-635-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHSHINSKAYA",
        "first_name": "OLGA",
        "name_prefix": "Miss",
        "credential": "M.S., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "1049442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.