SUSAN MARIE EDGERLY R.D., C.D.
NPI 1861563579
Dietitian, Registered in Spokane, WA

Active since November 13, 2006
800 W 5TH AVE, SPOKANE, WA 99210(509) 473-2272(509) 473-4916 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Susan Marie Edgerly R.d., C.d. NPPES

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

SUSAN MARIE EDGERLY R.D., C.D. (NPI 1861563579) is an individual dietitian, registered in Spokane, Washington, licensed in Washington (DI00001556) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1861563579
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSUSAN MARIE EDGERLYCredential: R.D., C.D.
Location Address800 W 5TH AVESpokane, WA 99210-0248
Mailing AddressPo Box 842151Dallas, TX 75284-2151 · (509) 458-5800 · Fax (509) 473-4916
Fax(509) 473-4916
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 1, 2009
NPI 1861563579 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 · DI00001556
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.

800 W 5TH AVE, Spokane, WA 99210

Other Names 1

Former Name (1)Susan Marie Holland R.d., C.d.

Other Identifiers 5

Medicare PING8868704WA
Medicare PING8880318WA
Medicare PING8880316
Medicare PING8868705WA
Medicaid8496721WA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861563579, enumerated as an "individual" on November 13, 2006.

The provider is located at 800 W 5TH AVE SPOKANE, WA 99210 and the phone number is (509) 473-2272.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.