MRS. SUSAN GAIL BAUM (NPI# 1770621344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770621344 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN GAIL BAUM |
| Credential | REGISTERED DIETITIAN |
| Practice Address |
13135 Lee Jackson Memorial Hwy Ste 201 Fairfax VA 22033-1907 |
| Mailing Address |
15505 Vine Cottage Dr Centreville VA 20120-3750 |
| Practice Telephone | 7039996290 |
| Practice Fax Number | 7032417723 |
| Mailing Telephone | 7039996290 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA PROVIDER ID | 4624075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396933123 | Susan Baum | Counselor | 402 Ne 72nd St Ste 5, Seattle, WA 98115-5456 | 2007-10-05 |
| Street Address |
13135 LEE JACKSON MEMORIAL HWY STE 201 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995467 | Robert E Greenspan | Internal Medicine | 13135 Lee Jackson Memorial Hwy, 135, Fairfax, VA 22033-1907 | 2005-07-08 |
| 1659842391 | Laura Roman | Pediatrics | 13135 Lee Jackson Memorial Hwy, Fairfax, VA 22033-1907 | 2018-12-06 |
| 1194267484 | Wellness and Preventative Care Centers LLC | Internal Medicine | 13135 Lee Jackson Memorial Hwy, Fairfax, VA 22033-1907 | 2016-11-17 |
| 1679981732 | Kelsey Schleider | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy, Suite 201, Fairfax, VA 22033-1907 | 2014-07-31 |
| 1417387101 | Jocelyn Marie Smith | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy, Fairfax, VA 22033-1907 | 2013-11-18 |
| 1811332448 | Madeline R Wolfert | Pediatrics | 13135 Lee Jackson Memorial Hwy, Suite 201, Fairfax, VA 22033-1907 | 2013-05-09 |
| 1265773824 | Joanna L Casey | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy, Suite 201, Fairfax, VA 22033-1907 | 2013-03-07 |
| 1639432198 | Nowal Al Baqui | Internal Medicine | 13135 Lee Jackson Memorial Hwy, #135, Fairfax, VA 22033-1907 | 2012-06-20 |
| 1942450267 | Misbah Zaheer | Internal Medicine | 13135 Lee Jackson Memorial Hwy, Ste 135, Fairfax, VA 22033-1907 | 2008-09-23 |
| 1154578466 | Patricia A Mcdade | Nurse Practitioner | 13135 Lee Jackson Memorial Hwy, Suite 201, Fairfax, VA 22033-1907 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| 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 |
|---|---|---|---|---|
| 1366058612 | Karen Perez Via | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-09-22 |
| 1144786583 | Stephanie Lynn Smith | Dietitian, Registered | 4375 Fair Lakes Ct, Fairfax, VA 22033-4234 | 2019-02-11 |
| 1982176392 | Helen Chung | Dietitian, Registered | 13210 Parson Ln, Fairfax, VA 22033-3402 | 2018-12-24 |
| 1184172587 | Marian Devereaux | Dietitian, Registered | 251 Oak Manor Dr, Fairfax, CA 94930-1014 | 2016-09-14 |
| 1295141497 | Kim Monroe | Dietitian, Registered | 13205 Ashvale Dr, Fairfax, VA 22033-1103 | 2014-07-08 |
| 1043583719 | Katherine Kielich | Dietitian, Registered | 51 Belle Ave, Fairfax, CA 94930-1725 | 2012-02-10 |
| 1023325073 | Jung-oak Joanne Choe | Dietitian, Registered | 9340 Tovito Dr, Fairfax, VA 22031-3825 | 2010-09-10 |
| 1366632630 | Cheryl Iny Harris | Dietitian, Registered | 9675 Main St, Ste A, Fairfax, VA 22031-3762 | 2007-08-01 |
| 1144828484 | Laura Royfe | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-10-09 |
| 1235748823 | Hannah Nicolais | Dietitian, Registered | 3023 Hamaker Ct Ste 600, Fairfax, VA 22031-2241 | 2020-07-29 |
| Find all providers in FAIRFAX | ||||
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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.