ALICIA D SUSILLA BS
NPI 1154315968
Dietitian, Registered in Longview, WA

Active since September 07, 2005
600 BROADWAY ST, LONGVIEW, WA 98632(360) 414-2200(360) 414-2210 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alicia D Susilla Bs NPPES

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

ALICIA D SUSILLA BS (NPI 1154315968) is an individual dietitian, registered in Longview, Washington, licensed in Washington (DI00001601) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1154315968
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALICIA D SUSILLACredential: BS
Location Address600 BROADWAY STLongview, WA 98632-3256
Mailing AddressPo Box 249Longview, WA 98632-7154
Fax(360) 414-2210
Sole ProprietorNo
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJuly 9, 2007
NPI 1154315968 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 WA · DI00001601
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.

600 BROADWAY ST, Longview, WA 98632

Other Identifiers 4

Medicare UPINQ36226
Medicaid8416349WA
Medicare ID-Type Unspecified8851208
Medicaid022955OR

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.

Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Nurse Practitioner (Psychiatric/Mental Health)
600 BROADWAY ST
LONGVIEW, WA 98632
Dietitian, Registered
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Social Worker (Clinical)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Psychiatry & Neurology (Psychiatry)
600 BROADWAY ST
LONGVIEW, WA 98632
Counselor
600 BROADWAY ST
LONGVIEW, WA 98632

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 Alicia Susilla's NPI number?

The NPI number for Alicia Susilla is 1154315968. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Alicia Susilla located?

Alicia Susilla practices at 600 Broadway St, Longview, WA 98632. The listed phone number is (360) 414-2200.

What is Alicia Susilla'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 Alicia Susilla was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.