Julie Amy Izsak, MED,RD,LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0636 Issued in NH

Practice address

29 Northwest Blvd
Nashua, NH 03063-4068

Phone

(603) 577-3275

Fax

(603) 577-2432

NPI assigned

May 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julie Amy Sussman Former name

Medicare fee-for-service enrollment

Enrolled in TX, CO, AZ, NJ4 enrollments

Enrollment records 4

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Season Clinical Care NJ PC

  • Registered Dietitian
  • Parsippany, NJ
  • NPI 1700693348

  Dietitian, Registered

  Medicare reassignment NPD
• Season Clinical Care P.a.

  • Registered Dietitian
  • Irving, TX
  • NPI 1649933565

  CO, Dietitian, Registered

  Medicare reassignment NPD
• Surely Health, Inc.

  • Registered Dietitian
  • Irving, TX
  • NPI 1053078360

  AZ, Dietitian, Registered

  Medicare reassignment NPD
• New England Nutrition Advisors, LLC

  • Registered Dietitian
  • Amherst, NH
  • NPI 1134648421

  Dietitian, Registered

  NPD (past)
• H-E-B, LP

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1073622411
  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1922326891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634068",
            "telephone_number": "603-577-3275",
            "fax_number": "603-577-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZSAK",
        "first_name": "JULIE",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MED,RD,LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0570",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "0636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SUSSMAN",
            "middle_name": "AMY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ilana Itenberg, DPM
• Juliana Barbara Ivanof, CPNP-PC
• Jennifer M. Ivas Delaney
• Nicole Ivers, BS
• Ivyrehab New Hampshire, LLC
• J a Herner Chiropractic, PLLC
• Florence Elizabeth Jacklin, RN
• Lisa M Jackman, PHARMD
• Jillian Jackson
• Juanita Jackson, MBA

• Registered Dietitian in Nashua, NH
• Providers in Nashua, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.