Susan Lynn Smith, MBA, RD is a
Dietitian, Registered based in Kalaheo, Hawaii. Susan Lynn Smith is licensed to practice in * (Not Available) (license number 722149) and her current practice location is
3651 Kakela Makai Drive, Kalaheo, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 212-4657.
NPI number for Susan Lynn Smith is 1386942241 and her current mailing address is Po Box 411, Kalaheo, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386942241.
Healthcare Provider's Profile
| Full Name | Susan Lynn Smith |
|---|
| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 3651 Kakela Makai Drive, Kalaheo, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386942241
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 03/02/2011
Medical Identifiers
Medical identifiers for Susan Lynn Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386942241 | NPI | - | NPPES |
| 722149 | Other | | CREDENTIALING AGENCY OF THE AMERICAN DIETETIC ASSOCIATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 722149 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Lynn Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Lynn Smith, MBA, RD
Po Box 411,
Kalaheo, HI 96741-0411
Ph: (808) 212-4657 | Susan Lynn Smith, MBA, RD
3651 Kakela Makai Drive,
Kalaheo, HI 96741-0411
Ph: (808) 212-4657 |
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