SUSAN ALDERSON RDCDE NPI 1669761904

NPI Information

NPI: 1669761904
Provider Name: SUSAN ALDERSON, RD,CDE
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
5325 FARAON ST
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 271-6700
Get Directions

Susan Alderson, RD,CDE is a nutrition and metabolic dietitian registered in Saint Joseph, MO. Susan Alderson, RD,CDE NPI is 1669761904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5325 FARAON ST
SAINT JOSEPH, MO
ZIP 64506-488
Phone: (816) 271-6700
Fax: (816) 271-6701

The enumeration date for this NPI number is 4/6/2011 and was last updated on 5/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133V00000X	Dietitian, Registered		2001003607	MISSOURI	No
2	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	2001003607	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1669761904	MEDICAID	MISSOURI
2	701000240	MEDICARE PIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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