Suzanne Brown, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

818202 Issued in CO

Practice address

1106 County Road 65
Evergreen, CO 80439-9663

Phone

(303) 807-0316

NPI assigned

Oct 22, 2019

Sex

Female

Sole proprietor

Yes

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.

• Bienetre Medical PC

  • Physical Therapist
  • New York, NY
  • NPI 1568037257

  Dietitian, Registered

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2019.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1891338802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COUNTY ROAD 65",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399663",
            "telephone_number": "303-807-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COUNTY ROAD 65",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399663",
            "telephone_number": "303-807-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUZANNE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CO",
            "license": "818202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbtherd@icloud.com",
            "affiliation": "N",
            "address_1": "1106 County Road 65",
            "city": "Evergreen",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804399663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jonathan Keith Brooks, PH.D.
• Brandon Brown
• Kloee Brown
• Laura Brown, LCSW
• Seth Brown
• Frederick R Buchwald, MD
• Buffalo Park Dentistry
• Burke Dermatology SC
• William Sean Burke, MD
• Joseph Burns, DDS

• All providers in Evergreen, CO
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.