SUSAN CARROLL (NPI# 1497810600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497810600 |
| Entity Type | Individual |
| Full Name | SUSAN CARROLL |
| Credential | RD |
| Practice Address |
2500 Massachusetts Ave Cambridge MA 02140-1628 |
| Practice Telephone | 6176616225 |
| Mailing Telephone | 6176616225 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 217 | MA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS OF MA | LD0181 | 01 |
| MA | HARVARD PILGRIM | AA51160 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861890741 | Susan Marie Carroll | Speech-Language Pathologist | 4282 Sequoyah Rd, Oakland, CA 94605-4639 | 2014-12-09 |
| 1740439546 | Susan P Carroll | Speech-Language Pathologist | 5173 Eastbrook Rd, Douglasville, GA 30135-7436 | 2008-09-17 |
| 1538389523 | Susan Kay Carroll | Dental Hygienist | 24427 Se 44th Ct, Issaquah, WA 98029-6554 | 2007-05-01 |
| 1134642457 | Susan Carroll | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy Ste 2100, Fremont, CA 94538-1624 | 2017-07-18 |
| 1801341748 | Susan Carroll | Licensed Practical Nurse | 451 E Henrietta Rd, 2, Rochester, NY 14620-4629 | 2016-08-21 |
| 1427319268 | Susan M Carroll | Case Manager/Care Coordinator | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-06-07 |
| 1366777112 | Susan Marian Carroll | Psychologist | 205 E 16th St, Suite M1a, New York, NY 10003-3746 | 2009-10-13 |
| 1851451991 | Susan M. Carroll | Social Worker | 240 W Tyrone Rd, Oak Ridge, TN 37830-6517 | 2006-12-11 |
| 1265442255 | Susan A. Carroll | Dentist | 15915 S Crystal Creek Dr Ste B, Homer Glen, IL 60491-9381 | 2006-08-09 |
| Street Address |
2500 MASSACHUSETTS AVE |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639946 | Lucille Shore - Schein | Internal Medicine | 2500 Massachusetts Ave, Cambridge, MA 02140 | 2005-09-20 |
| 1225595135 | Hqc Acupuncture PC | Acupuncturist | 2500 Massachusetts Ave, Cambridge, MA 02140 | 2019-02-27 |
| 1578078275 | Holistic Medicine LLC | Nutritionist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2017-12-05 |
| 1871746610 | Karen A Deane | Physical Therapist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2008-10-24 |
| 1902058647 | Scott Mcdonough | Physical Therapist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2008-10-14 |
| 1184825960 | Donna George | Nurse Practitioner | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2007-05-30 |
| 1518006253 | Deborah Morrill | Registered Nurse | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2007-02-06 |
| 1568527786 | Steven Genduso | Massage Therapist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
| 1558426759 | Abdallah Maalouf | Chiropractor | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
| 1730244922 | R Tracy Macnab | Psychologist | 2500 Massachusetts Ave, Cambridge, MA 02140-1628 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| 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 |
|---|---|---|---|---|
| 1356958003 | Cameron Allen Mcdonald | Dietitian, Registered | 567 Putnam Ave Apt 2, Cambridge, MA 02139-4834 | 2020-09-27 |
| 1245843440 | Nourish for Life | Dietitian, Registered | 126 Prospect St Ste 6, Cambridge, MA 02139-2540 | 2020-08-26 |
| 1144853979 | Robin Amylon | Dietitian, Registered | 215 1st St, Cambridge, MA 02142-1213 | 2020-02-20 |
| 1992353163 | Sarah Andrus | Dietitian, Registered | 2 Leighton St Apt 621, Cambridge, MA 02141-1861 | 2019-08-29 |
| 1801443825 | Katharine Bauer | Dietitian, Registered | 1 Aberdeen Way Ste 124, Cambridge, MA 02138-4659 | 2019-08-23 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1013499409 | Eliza Mellion | Dietitian, Registered | 65 Walden St Apt 1r, Cambridge, MA 02140-3399 | 2018-08-31 |
| 1447744313 | Catherine Fanning | Dietitian, Registered | 128 Magazine St Apt 16, Cambridge, MA 02139-3920 | 2018-06-14 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| Find all providers in CAMBRIDGE | ||||
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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.