Active NPI
Susan Chanin, R.D.
- Metabolic Nutrition Registered Dietitian
- Longmeadow, MA
National Provider Identifier
1902228133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- 1857
- Practice address
- 203 Primrose Dr
Longmeadow, MA 01106-2535 - Phone
- (413) 244-6642
- NPI assigned
- Jan 7, 2014
- Last updated
- Jan 7, 2014
- 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 |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 1857 | MA | Primary |
Addresses
Primary practice location
203 Primrose Dr
Longmeadow, MA 01106-2535
Mailing address
203 Primrose Dr
Longmeadow, MA 01106-2535
Phone (413) 244-6642
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 |
|---|---|---|---|
| 1857 | MA | MD | Metabolic Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1902228133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 PRIMROSE DR",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062535",
"telephone_number": "413-244-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 PRIMROSE DR",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011062535",
"telephone_number": "413-244-6642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANIN",
"first_name": "SUSAN",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-07",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "MA",
"license": "1857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.