MRS. SUSAN B GREEN RD, MPH, CDN
NPI 1568695294
Dietitian, Registered - Nutrition, Renal in N Syracuse, NY

Q: What is Susan Green's NPI number?

The NPI number for Susan Green is 1568695294. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Q: What is Susan Green's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Q: When was this NPI record last updated?

The NPPES record for Susan Green was last updated on August 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 28, 2009

6846 BUCKLEY RD, N SYRACUSE, NY 13212(315) 410-6400 Get Directions Write a Review

NPPES record last updated: August 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Susan B Green Rd, Mph, Cdn NPPES

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

MRS. SUSAN B GREEN RD, MPH, CDN (NPI 1568695294) is an individual nutrition, renal provider in N Syracuse, New York, licensed in New York (391052) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1568695294

Entity TypeIndividualFemale

Primary Taxonomy133VN1005X

Provider Legal NameMRS. SUSAN B GREENCredential: RD, MPH, CDN

Location Address6846 BUCKLEY RDN Syracuse, NY 13212-4275

Mailing Address6846 Buckley RoadN. Syracuse, NY 13212 · (315) 410-6400

Phone(315) 410-6400

Sole ProprietorNo

Enumeration DateAugust 28, 2009

✔ NPI 1568695294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers

Taxonomy Code133VN1005X

License✔ Licensed in NY · 391052

Definition

An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.

6846 BUCKLEY RD, N Syracuse, NY 13212

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Other Providers at the Same Location NPPES 13

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

SUSAN WAGNER NP

Nurse Practitioner (Adult Health)