Active NPI
Vincent Gene Suha, MS, RD, CD
- Registered Dietitian
- Madison, WI
National Provider Identifier
1891255543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3027-29
- Practice address
- 214 Rosemary Ave
Madison, WI 53714-1842 - Phone
- (608) 616-5295
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- 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 | 3027-29 | WI | Primary |
Addresses
Primary practice location
214 Rosemary Ave
Madison, WI 53714-1842
Mailing address
214 Rosemary Ave
Madison, WI 53714-1842
Phone (608) 616-5295
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3027-29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1891255543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 ROSEMARY AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537141842",
"telephone_number": "608-616-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 ROSEMARY AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537141842",
"telephone_number": "608-616-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUHA",
"first_name": "VINCENT",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "MS, RD, CD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3027-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.