Sue McKenzie Talbert, RD CDE LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L001793 Issued in NC

Practice address

1450 Leonard St NE
Grand Rapids, MI 49505-5515

Phone

(616) 774-8789

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hope Network

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1720316953
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1861590333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 COLLEGE STREET",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28540",
            "telephone_number": "910-347-2154",
            "fax_number": "910-347-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055515",
            "telephone_number": "616-774-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "SUE",
        "middle_name": "MCKENZIE",
        "name_prefix": "Mrs.",
        "credential": "RD CDE LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "710000239",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Denise Taig, D.C.
• Timothy Alan Taig, D.C.
• Jonathan Todd Takala, CRNA
• Andra Elizabeth Talaska, PA-C
• Sanjay J Talati, M.D.
• Anne Marie Talbot, CRNA
• Benjamin Talbot, MD
• Patricia L Talbott, MA,LPC,CAC-1,MSW
• Joseph Peter Talcott, D.O.
• Janice M Talen, LMFT

• Registered Dietitian in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.