Active NPI
Susan L Brumley, RD
- Registered Dietitian
- Phoenix, AZ
National Provider Identifier
1962984559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 439298
- Practice address
- 5090 N 40TH St Ste 250
Phoenix, AZ 85018 - Phone
- (602) 258-3354
- NPI assigned
- Aug 30, 2018
- 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 | 439298 | Primary |
Addresses
Primary practice location
5090 N 40TH St Ste 250
Phoenix, AZ 85018
Mailing address
4214 N 38TH St Unit C
Phoenix, AZ 85018-4839
Phone (602) 736-7397
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 439298 | Other | CDR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1962984559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 N 38TH ST UNIT C",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850184839",
"telephone_number": "602-736-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5090 N 40TH ST STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85018",
"telephone_number": "602-258-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMLEY",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "439298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "439298",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.