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SUSAN A JORDAN REGISTERED DIETITION NPI 1073613709


NPI Information

NPI: 1073613709
Provider Name: SUSAN A JORDAN, REGISTERED DIETITION
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
1010 SOUTH
7650 EAST
CROW AGENCY, MT
ZIP 59022
Phone: (406) 638-3553
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Susan A Jordan, REGISTERED DIETITION is a dietitian registered in Crow Agency, MT. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. Susan A Jordan, REGISTERED DIETITION NPI is 1073613709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 SOUTH
7650 EAST
CROW AGENCY, MT
ZIP 59022-022
Phone: (406) 638-3553
Fax: (406) 638-3553

The enumeration date for this NPI number is 9/23/2006 and was last updated on 4/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, RegisteredDT06018TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DT06018OTHERTEXASTEXAS STATE BOARD
22210068MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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