SUSAN AUSTIN DOUGLAS MS, RD, LD
NPI 1255590360
Dietitian, Registered in Cordova, TN

Q: What is Susan Douglas's NPI number?

The NPI number for Susan Douglas is 1255590360. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Q: What is Susan Douglas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Douglas was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 04, 2008

295 GERMANTOWN BEND CV, CORDOVA, TN 38018(901) 759-9337 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Austin Douglas Ms, Rd, Ld NPPES

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

SUSAN AUSTIN DOUGLAS MS, RD, LD (NPI 1255590360) is an individual dietitian, registered in Cordova, Tennessee, licensed in Tennessee (LDN0000001941) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1255590360

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSAN AUSTIN DOUGLASCredential: MS, RD, LD

Location Address295 GERMANTOWN BEND CVCordova, TN 38018-7238

Mailing Address295 Germantown Bend CvCordova, TN 38018-7238 · (901) 759-9337

Phone(901) 759-9337

Sole ProprietorNo

Enumeration DateJune 4, 2008

Last NPPES UpdateOctober 2, 2012

✔ NPI 1255590360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in TN · LDN0000001941✔ Licensed in AR · 78

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.

295 GERMANTOWN BEND CV, Cordova, TN 38018

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Other Identifiers 1

Medicare UPIN103I713625

Other Providers at the Same Location NPPES 7

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

REBECCA A ROLAND MS, RDN, LDN

Dietitian, Registered