SUSANNE D'ANGELO-COOLEY R.D.
NPI 1164460176
Dietitian, Registered in Scarborough, ME

Q: What is Susanne D'angelo-cooley's NPI number?

The NPI number for Susanne D'angelo-cooley is 1164460176. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Susanne D'angelo-cooley's specialty?

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

Active since June 02, 2006

175 US ROUTE 1, SCARBOROUGH, ME 04074(207) 885-7700(207) 885-7701 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Susanne D'angelo-cooley R.d. NPPES

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

SUSANNE D'ANGELO-COOLEY R.D. (NPI 1164460176) is an individual dietitian, registered in Scarborough, Maine, licensed in Maine (D1336) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1164460176

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSANNE D'ANGELO-COOLEYCredential: R.D.

Location Address175 US ROUTE 1Scarborough, ME 04074-9048

Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 885-7700

Fax(207) 885-7701

Sole ProprietorNo

Enumeration DateJune 2, 2006

Last NPPES UpdateFebruary 22, 2012

✔ NPI 1164460176 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 ME · D1336

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.

175 US ROUTE 1, Scarborough, ME 04074

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Other Identifiers 3

Medicare PINMT0248ME

Medicare PINMT024803ME

Medicare PINP00658294ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susanne D'angelo-cooley R.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Susanne D'angelo-cooley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth

0.2 mi

Family Medicine

300 PROFESSIONAL DR
Scarborough, ME 04074

Reassigned Medicare billing, Maine enrollment
3,140 clinicians in this Medicare group

NPI 1497068969 (207) 883-3491

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JAYACHIDAMBARAM AMBALAVANAN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)