MS. SUSAN STROM (NPI# 1902116031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902116031 |
| Entity Type | Individual |
| Full Name | MS. SUSAN STROM |
| Credential | RD, LDN |
| Practice Address |
111 Sunnybrook Rd Raleigh NC 27610-1827 |
| Practice Telephone | 9198826590 |
| Practice Fax Number | 9198826591 |
| Mailing Telephone | 9198826590 |
| Mailing Fax Number | 9198826591 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L003465 | NC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154312205 | Susan Elizabeth Strom | Chiropractor | 2456 Nw Northrup St, Suite 1-a, Portland, OR 97210-3253 | 2005-10-28 |
| 1922174754 | Susan Lynn Strom | Dietitian, Registered | 1117 Battlecreek Rd, Jonesboro, GA 30236-2407 | 2006-11-24 |
| Street Address |
111 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023105434 | Brian Vernon Robbins | Psychiatry & Neurology | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2006-10-06 |
| 1184086944 | Marybeth Gallagher | Occupational Therapist | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2016-03-22 |
| 1346609351 | Stephanie Lee Lewallen-owens | Psychologist | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2016-02-18 |
| 1629310198 | Barbara Agnes Altieri | Counselor | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2013-03-22 |
| 1447502018 | Harold O Mallette | Counselor | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2012-10-08 |
| 1780934067 | Martin D Woodard | Counselor | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2012-09-14 |
| 1164745253 | Sharon E Pena | Occupational Therapist | 111 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2010-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1154921997 | Lauren Annelise Prigge | Dietitian, Registered | 3636 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-30 |
| 1801493291 | Fuel Nc Nutrition | Dietitian, Registered | 1107 Capital Blvd, Raleigh, NC 27603-1113 | 2020-10-08 |
| 1194331751 | Cindy Kang | Dietitian, Registered | 4621 Fielding Dr, Raleigh, NC 27606-4564 | 2020-09-18 |
| 1164032272 | Hannah Libera | Dietitian, Registered | 516 Phelps Ave, Raleigh, NC 27607-7260 | 2020-08-04 |
| 1265041693 | Liza Iv | Dietitian, Registered | 5931 Waterford Bluff Ln Apt 1533, Raleigh, NC 27612-7832 | 2020-07-31 |
| 1386261592 | Hannah Waspi | Dietitian, Registered | 110 Trinity Woods Dr, Raleigh, NC 27607-4948 | 2020-07-03 |
| 1760008098 | Julianne Tobin | Dietitian, Registered | 2260 Housecreek Trl Apt 105, Raleigh, NC 27607-3488 | 2020-06-23 |
| 1164044806 | Nancy Catherine Dyer | Dietitian, Registered | 4128 The Oaks Dr, Raleigh, NC 27606-3435 | 2020-05-16 |
| 1679102966 | Water and The Well | Dietitian, Registered | 3950 Fairsted Dr Apt 264, Raleigh, NC 27612-4545 | 2020-04-07 |
| 1326673922 | Janette Russell Lowe | Dietitian, Registered | 3916 Haithcock Road, Raleigh, NC 27604-4126 | 2020-03-04 |
| Find all providers in RALEIGH | ||||
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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.