Susan Karen Peterson, M.S., R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1738 Issued in MN

Practice address

3965 Crystal Lake TRL
Faribault, MN 55021-7974

Phone

(507) 334-7478

Fax

(507) 334-7478

NPI assigned

Aug 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1972819712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 CRYSTAL LAKE TRL",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217974",
            "telephone_number": "507-334-7478",
            "fax_number": "507-334-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 CRYSTAL LAKE TRL",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550217974",
            "telephone_number": "507-334-7478",
            "fax_number": "507-334-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SUSAN",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "1738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Joan Peitzman, APRN, CNS
• Jon Michael Penton, M.A., L.P.
• Brianne Kay Peroutka, PHARM.D.
• Nancy Lynn Pesta Walsh, FNP-BC
• Bradley Peters
• Jeff Phiefer
• Phunt Phyo, M.D.
• Samantha Nicole Pieper, MA, LPCC
• Heidi Katherine Pierquet, CNP
• Hector Pineda Guzman

• Registered Dietitian in Faribault, MN
• Providers in Faribault, MN by specialty
• Registered Dietitian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.