NPI 1700731536 · live from the CMS NPI Registry
Susanna Dundore, RD
Dietitian, Registered in East Providence, RI. National Provider Identifier 1700731536, active.
NPI record
| NPI | 1700731536 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 450 Veterans Memorial Pkwy Ste 8c, East Providence, RI 02914 |
| Practice phone | 401-396-9369 |
| Mailing address | 44 Oconnell St, Lewiston, ME 04240 |
| Enumerated | February 26, 2026 |
| Last updated | February 26, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN01668 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.