Active NPI
Susan Leigh Anderson, RD,LD
- Registered Dietitian
- Wooster, OH
National Provider Identifier
1962699660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD 4481
- Practice address
- 1761 Beall Ave
Wooster, OH 44691-2342 - Phone
- (330) 263-8196
- Fax
- (330) 263-8197
- NPI assigned
- Sep 27, 2007
- Last updated
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LD 4481 | OH | Primary |
Addresses
Primary practice location
1761 Beall Ave
Wooster, OH 44691-2342
Mailing address
287 Winkler Dr
Wooster, OH 44691-1642
Phone (330) 345-7166
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD 4481 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Wooster | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wooster Community Hospital
- General Acute Care Hospital
- Wooster, OH
- NPI 1437156247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1962699660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 WINKLER DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911642",
"telephone_number": "330-345-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 BEALL AVE",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446912342",
"telephone_number": "330-263-8196",
"fax_number": "330-263-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SUSAN",
"middle_name": "LEIGH",
"credential": "RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD 4481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.