SUSAN BANUELOS SMITH (NPI# 1407347297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407347297 |
| Entity Type | Individual |
| Full Name | SUSAN BANUELOS SMITH |
| Other Name | SUSAN BANUELOS |
| Credential | MS RD LD CDE |
| Practice Address |
3801 W 15th St Ste 214 Plano TX 75075 |
| Mailing Address |
447 Lakedale Dr Murphy TX 75094-4289 |
| Practice Telephone | 4694670400 |
| Practice Fax Number | 8442662601 |
| Mailing Telephone | 4697340822 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT05851 | TX | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1588115067 | Susan Smith | Counselor | 8491 N. Lake Blvd., Kings Beach, CA 96143 | 2016-10-19 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| 1346683414 | Susan Smith | Specialist | 4718 Foster Ave, Brooklyn, NY 11203-5822 | 2013-04-09 |
| Street Address |
3801 W 15TH ST STE 214 |
| City | PLANO |
| State | TX |
| Zip Code | 75075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1558991364 | Pinner Hio Chiropractic, Inc | Chiropractor | 3801 George Bush Turnpike, Ste 130, Plano, TX 75075 | 2020-01-21 |
| 1396214052 | Tu Cam Bui Forkner | Physician Assistant | 3804 W 15th St Ste 140, Plano, TX 75075 | 2018-11-24 |
| 1033691498 | Jane Njeri Muchiri | Licensed Vocational Nurse | 1255 West 15th Street Suite1025, Plano, TX 75075 | 2018-09-02 |
| 1548742976 | Bethany Noelle Bell | Speech-Language Pathologist | 1255 W 15th Street Suite 1025, Plano, TX 75075 | 2018-09-01 |
| 1639650302 | Olufunke Oloyede | Licensed Vocational Nurse | 1255 W 15th St Ste 1205, Plano, TX 75075 | 2018-08-22 |
| 1679053995 | Healthrx Pharmacy LLC | Pharmacy | 2235 W 15th St, Plano, TX 75075 | 2018-08-16 |
| 1134606593 | Lauren Scurry | Speech-Language Pathologist | 2809 Hunters Creek, Plano, TX 75075 | 2018-07-27 |
| 1740767946 | Barikat Aruna Oderinde | Nurse Practitioner | 804 Edmonton Dr, Plano, TX 75075 | 2018-07-20 |
| 1932685302 | Surgical Anesthesia Consultants, Pllc | Anesthesiology | 2419 Coit Road, Suite B, Plano, TX 75075 | 2018-07-18 |
| Find all providers in zip 75075 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162493 | Shea Lauren Puckett | Dietitian, Registered | 6632 Canyon Oaks Cir, Plano, TX 75024-7483 | 2020-07-27 |
| 1558996595 | Connally Morris | Dietitian, Registered | 4708 Alliance Blvd Ste 400, Plano, TX 75093-5340 | 2020-03-10 |
| 1326694035 | Haley Laura Pfannstiel | Dietitian, Registered | 700 E Park Blvd Ste 110, Plano, TX 75074-8842 | 2019-08-18 |
| 1265934079 | Sam Presicci | Dietitian, Registered | 6512 Rutherford Rd, Plano, TX 75023-2373 | 2018-03-07 |
| 1356857767 | Jennifer R Zucconi | Dietitian, Registered | 5908 Loch Maree Dr, Plano, TX 75093-4552 | 2017-12-20 |
| 1861912347 | Kristin Williams | Dietitian, Registered | 5400 W Plano Pkwy Ste 210, Plano, TX 75093-4883 | 2017-06-26 |
| 1770931180 | Erica Bennett | Dietitian, Registered | 3217 Brewton Dr, Plano, TX 75074-8764 | 2016-05-25 |
| 1962872390 | Han Sun | Dietitian, Registered | 6520 Silver Ln, Plano, TX 75023-2854 | 2015-09-28 |
| 1538543061 | Dana Quigley | Dietitian, Registered | 908 Harvest Glen Dr, Plano, TX 75023-6725 | 2015-07-15 |
| 1265832133 | Maria Seid | Dietitian, Registered | 6545 Rutherford Rd, Plano, TX 75023-2368 | 2014-08-28 |
| Find all providers in PLANO | ||||
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| 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.