Active NPIIndividual provider

Susanne D'Angelo-Cooley, RD

Dietitian, Registered in Scarborough, Maine

NPI Number1164460176
Practice location
175 US Route 1, Scarborough, ME 04074-9048
Fax
207-885-7701
Last updated
February 22, 2012

Susanne D'Angelo-Cooley is a Dietitian, Registered based in Scarborough, ME. Susanne D'Angelo-Cooley practices in Scarborough, ME and has the professional credentials of RD. The NPI Number for Susanne D'Angelo-Cooley is 1164460176 and holds a License No. D1336 (ME). The current practice location address for Susanne D'Angelo-Cooley is 175 US Route 1, Scarborough, ME 04074-9048 and can be reached out via phone at 207-885-7700 and via fax at 207-885-7701.

Provider Profile Details

NPI Number
1164460176
Provider Name
Susanne D'Angelo-Cooley
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
175 US Route 1, Scarborough, ME 04074-9048
Phone Number
207-885-7700
Fax Number
207-885-7701
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2006
Last Update Date
February 22, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 US Route 1
Scarborough, ME 04074-9048
State
Maine
Zip
04074-9048
Phone Number
207-885-7700
Fax Number
207-885-7701
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
301 US Route 1
Building C
Scarborough, ME 04074-7609
City
Scarborough
State
ME
Zip
04074-7609
Phone Number
207-396-8600
Fax Number
207-396-8632

License Information

License Number
D1336
License State
ME
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susanne D'Angelo-Cooley, RD?

The NPI number of Susanne D'Angelo-Cooley, RD is 1164460176. It was assigned on June 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Susanne D'Angelo-Cooley, RD?

Susanne D'Angelo-Cooley, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number D1336.

Where does Susanne D'Angelo-Cooley, RD practice?

The practice location is 175 US Route 1, Scarborough, ME 04074-9048. The office can be reached at 207-885-7700 (phone) or 207-885-7701 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164460176 directly on the NPPES registry website.

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