MRS. SUSAN MARIE MANTERNACH (NPI# 1073792644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073792644 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MARIE MANTERNACH |
| Credential | RD,LD,CDDE |
| Practice Address |
1560 University Ave Dubuque IA 52001-4790 |
| Practice Telephone | 5635894899 |
| Practice Fax Number | 5635894897 |
| Mailing Telephone | 5635894899 |
| Mailing Fax Number | 5635894897 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
00564 | IA | Dietary & Nutritional Service Providers |
| Street Address |
1560 UNIVERSITY AVE |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52001-4790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861805442 | Stephanie Anne Young | Dietitian, Registered | 1560 University Ave, Dubuque, IA 52001-4790 | 2014-06-11 |
| 1205015849 | Kimberly Ann Peterman | Dietitian, Registered | 1560 University Ave, Dubuque, IA 52001-4790 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992291132 | Klauer Optometry PC | Optometrist | 1705 Delhi St Uppr Level, Dubuque, IA 52001 | 2018-07-10 |
| 1710496427 | Ryan Michael Chatfield | Counselor | 799 Main St. Suite 110, Dubuque, IA 52001 | 2017-09-26 |
| 1396274791 | Patricia Ochs | Social Worker | 200 Mercy Dr., Ste. 200, Dubuque, IA 52001 | 2017-06-08 |
| 1770025264 | Young Men's Christian Association of Dubuque, Iowa | Health Educator | 35 North Booth Street, Dubuque, IA 52001 | 2016-11-15 |
| 1912388786 | Benjamin N Baker | Nurse Anesthetist, Certified Registered | 1515 Delhi Street, Suite 300, Mississippi Valley Anesthesiology, Dubuque, IA 52001 | 2015-06-17 |
| 1437536752 | Lucas Stephen Flamich | Optometrist | 300 N Grandview Ave., Dubuque, IA 52001 | 2015-05-06 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1376815209 | Umeka Latasha Lewis | Adult Companion | 1308 1/2 Jackson St, Dubuque, IA 52001 | 2012-02-08 |
| 1861777450 | Kevin Joseph Natzke | Pharmacist | 250 Mercy Drvie, Mercy Family Pharmacy, Dubuque, IA 52001 | 2011-10-15 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| Find all providers in zip 52001 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922379551 | Kathleen B Lopez | Dietitian, Registered | 530 W Wamsley Ave, Clarksville, IA 50619-7941 | 2012-01-12 |
| 1275582322 | Carole E Buchmiller | Dietitian, Registered | Hwy 6, Va Medical Center, Iowa City, IA 52246 | 2006-05-08 |
| 1427515451 | Nichole Marie Carney | Dietitian, Registered | 540 E Jefferson St Ste 205, Iowa City, IA 52245-2479 | 2019-02-26 |
| 1659785244 | Joan M. Jensen | Dietitian, Registered | 411 Laurel St Ste 3320, Des Moines, IA 50314-3017 | 2014-06-11 |
| 1194970624 | Hy-vee, Inc. | Dietitian, Registered | 5820 Westown Pkwy, West Des Moines, IA 50266-8223 | 2008-11-25 |
| 1144343179 | Jo Ellen Cox | Dietitian, Registered | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2007-04-06 |
| 1417078288 | Donna J Starck | Dietitian, Registered | 1200 Pleasant St, Diabetes Education Center, Des Moines, IA 50309-1406 | 2007-04-02 |
| 1831217181 | Cristin K Glenn | Dietitian, Registered | 411 Laurel St Ste 3320, Des Moines, IA 50314-3017 | 2007-03-26 |
Please comment or provide details below to improve the information on MRS. SUSAN MARIE MANTERNACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.