Active NPI
Sue A. Haug, RD, LD, CDE
- Registered Dietitian
- Winona, MN
National Provider Identifier
1841589983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1629
- Practice address
- 855 Mankato Ave
5600
Winona, MN 55987-4868 - Phone
- (507) 457-4521
- Fax
- (507) 474-3284
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 1629 | MN | Primary |
Addresses
Primary practice location
855 Mankato Ave
5600
Winona, MN 55987-4868
Mailing address
855 Mankato Ave
5600
Winona, MN 55987-4868
Phone (507) 457-4521
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1629 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1841589983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MANKATO AVE",
"address_2": "5600",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-457-4521",
"fax_number": "507-474-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MANKATO AVE",
"address_2": "5600",
"city": "WINONA",
"state": "MN",
"postal_code": "559874868",
"telephone_number": "507-457-4521",
"fax_number": "507-474-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "SUE",
"middle_name": "A.",
"credential": "RD, LD, CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "1629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.