NPI 1881134500 · live from the CMS NPI Registry
Susan Kreager, RDN, LD, CDE
Dietitian, Registered in Ethete, WY. National Provider Identifier 1881134500, active.
NPI record
| NPI | 1881134500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 643 Blue Sky Hwy 132, Ethete, WY 82520 |
| Practice phone | 307-332-8035 |
| Mailing address | Po Box 382, Hudson, WY 82515 |
| Enumerated | February 28, 2017 |
| Last updated | January 16, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Educator | 174H00000X | — |
| Dietitian, Registered primary | 133V00000X | 087 (WY) |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | 087 (WY) |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | 087 (WY) |
| Nutritionist, Nutrition, Education | 133NN1002X | 087 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.