Active NPIIndividual provider

Susan E Polgreen, MS, RD, CD

Dietitian, Registered in South Burlington, Vermont

NPI Number1508420134
Practice location
366 Dorset St Ste 10, South Burlington, VT 05403-4479
Fax
—
Last updated
April 29, 2019

Susan Emily Polgreen is a Dietitian, Registered based in South Burlington, VT. Susan Emily Polgreen practices in South Burlington, VT and has the professional credentials of MS, RD, CD. The NPI Number for Susan Emily Polgreen is 1508420134 and holds a License No. 074.0134137 (VT). The current practice location address for Susan Emily Polgreen is 366 Dorset St Ste 10, South Burlington, VT 05403-4479 and can be reached out via phone at 802-999-9207.

Provider Profile Details

NPI Number
1508420134
Provider Name
Susan Emily Polgreen
Credential
MS, RD, CD
Provider Entity Type
Individual
Gender
Female
Address
366 Dorset St Ste 10, South Burlington, VT 05403-4479
Phone Number
802-999-9207
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2019
Last Update Date
April 29, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
366 Dorset St Ste 10
South Burlington, VT 05403-4479
State
Vermont
Zip
05403-4479
Phone Number
802-999-9207
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
92 Little Eagle Bay
Burlington, VT 05408-2776
City
Burlington
State
VT
Zip
05408-2776

License Information

License Number
074.0134137
License State
VT
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 Susan E Polgreen, MS, RD, CD?

The NPI number of Susan E Polgreen, MS, RD, CD is 1508420134. It was assigned on April 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Susan E Polgreen, MS, RD, CD?

Susan E Polgreen, MS, RD, CD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in VT under license number 074.0134137.

Where does Susan E Polgreen, MS, RD, CD practice?

The practice location is 366 Dorset St Ste 10, South Burlington, VT 05403-4479. The office can be reached at 802-999-9207 (phone).

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 1508420134 directly on the NPPES registry website.

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