Active NPI
Susan E Harms, DIETICIAN
- Registered Dietitian
- Fort Myers, FL
National Provider Identifier
1801904404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7854
- Practice address
- 8960 Colonial Center Dr
Suite 202
Fort Myers, FL 33905-7810 - Phone
- (239) 424-3120
- Fax
- (239) 424-1421
- NPI assigned
- Aug 25, 2006
- 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 | ND7854 | FL | Primary |
Addresses
Primary practice location
8960 Colonial Center Dr
Suite 202
Fort Myers, FL 33905-7810
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1801904404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1400",
"fax_number": "239-424-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 COLONIAL CENTER DR",
"address_2": "SUITE 202",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057810",
"telephone_number": "239-424-3120",
"fax_number": "239-424-1421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMS",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "DIETICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND7854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.