SUSAN REESE (NPI# 1174996151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174996151 |
| Entity Type | Individual |
| Full Name | SUSAN REESE |
| Credential | MS RDN CNSC CD |
| Practice Address |
2147 E Pinnacle Terrace Way Apt 103 Salt Lake City UT 84121-5062 |
| Mailing Address |
Po Box 711913 Salt Lake City UT 84171-1913 |
| Practice Telephone | 8012011850 |
| Mailing Telephone | 8012011850 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
8066413-4901 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841484672 | Susan Kay Reese | Licensed Practical Nurse | 5807 Red Coach Rd, Dayton, OH 45429-6121 | 2007-09-05 |
| 1063455459 | Susan Linda Reese | Psychologist | 2828 E Fort Lowell Rd, Bldg. B, Tucson, AZ 85716-1518 | 2006-06-14 |
| 1740227875 | Susan L Reese | Family Medicine | 2501 Nw 229th Ave, Hillsboro, OR 97124-5506 | 2006-05-31 |
| 1356572598 | Susan Rae Reese | Dental Hygienist | 115 E 6th St S, Ladysmith, WI 54848-1910 | 2009-08-05 |
| Street Address |
2147 E PINNACLE TERRACE WAY APT 103 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021699 | Sara Stevenson | Dietitian, Registered | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-29 |
| 1306475124 | Nicole Williams | Dietitian, Registered | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-03 |
| 1487165908 | Jessica Brothers Clayton | Dietitian, Registered | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-24 |
| 1649717562 | Madeline Gochnour | Dietitian, Registered | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-01-30 |
| 1528421435 | Moira Flannery Kryger | Dietitian, Registered | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-03-30 |
| 1447610936 | Cynthia Panish | Dietitian, Registered | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-02-26 |
| 1801146279 | Kristen Strong | Dietitian, Registered | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-09-13 |
| 1083964514 | Janet Gardner Bowman | Dietitian, Registered | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-09-12 |
| 1154670503 | Shannon Michelle Sundberg | Dietitian, Registered | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-08-30 |
| 1164771572 | Catherine M. Mcdonald | Dietitian, Registered | 100 Mario Capecchi Dr, Dietitians' Office, 2nd Floor, Salt Lake City, UT 84113-1103 | 2012-08-30 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
Please comment or provide details below to improve the information on SUSAN REESE.
| 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.