SUSANNA DUNDORE RD
NPI 1700731536
Dietitian, Registered in East Providence, RI

Q: What is Susanna Dundore's NPI number?

The NPI number for Susanna Dundore is 1700731536. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Q: What is Susanna Dundore'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 Susanna Dundore was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 February 26, 2026Accepts Medicare Assignment

450 VETERANS MEMORIAL PKWY STE 8C, EAST PROVIDENCE, RI 02914(401) 396-9369 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Susanna Dundore Rd NPPES

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

SUSANNA DUNDORE RD (NPI 1700731536) is an individual dietitian, registered in East Providence, Rhode Island, licensed in Rhode Island (LDN01668) and active in the NPI registry since February 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1700731536

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSANNA DUNDORECredential: RD

Location Address450 VETERANS MEMORIAL PKWY STE 8CEast Providence, RI 02914-5300

Mailing Address44 Oconnell StLewiston, ME 04240-6151 · (419) 603-3081

Phone(401) 396-9369

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1700731536 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 · LDN01668

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.

450 VETERANS MEMORIAL PKWY STE 8C, East Providence, RI 02914

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susanna Dundore Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870061591

PECOS Enrollment IDI20260511002387

Medicare Billing Reassignment

Medicare enrollment records show Susanna Dundore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evolution Nutrition Inc.

Same address

Dietitian, Registered

450 VETERANS MEMORIAL PKWY, SUITE 8C
East Providence, RI 02914

Reassigned Medicare billing, Rhode Island enrollment
29 clinicians in this Medicare group

NPI 1336265800 (401) 396-9331

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. EMILY SNOW DELCONTE RD

Dietitian, Registered