MS. SUSAN BETH TILLER RD
NPI 1053401166
Dietitian, Registered in Providence, RI

Active since October 13, 2006
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-6966(401) 444-5462 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Susan Beth Tiller Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN BETH TILLER RD (NPI 1053401166) is an individual dietitian, registered in Providence, Rhode Island, licensed in Rhode Island (LDN00575) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053401166
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. SUSAN BETH TILLERCredential: RD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address167 Point StProvidence, RI 02903-4771 · (401) 444-5640 · Fax (401) 444-5462
Fax(401) 444-5462
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1053401166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in RI · LDN00575
Definition

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.

593 EDDY ST, Providence, RI 02903

Other Identifiers 1

Medicare OSCAR/certification410007RI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Pediatrics (Pediatric Hematology-Oncology)
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Pediatrics (Pediatric Nephrology)
593 EDDY ST, HASBRO 122
PROVIDENCE, RI 02903
Nurse Practitioner
593 EDDY ST, APC 456
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST, APC 4
PROVIDENCE, RI 02903
Internal Medicine
593 EDDY ST
PROVIDENCE, RI 02903
Nutritionist
593 EDDY ST, RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
Internal Medicine
593 EDDY ST, POB-224 MED/PEDS CLINIC
PROVIDENCE, RI 02903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Tiller's NPI number?

The NPI number for Susan Tiller is 1053401166. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Susan Tiller located?

Susan Tiller practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6966.

What is Susan Tiller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Susan Tiller was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.