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Active NPI 1649427261 Individual Practitioner Female Practitioner

Dr. Susan Edith Travis , PhD

Dietitian, Registered • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Dr. Susan Travis, PhD is a registered healthcare professional specializing in Dietitian, Registered in Ithaca, NY. Practice services are available at 202 E STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

202 E State St
Suite 402

Ithaca, NY 148505551

Telephone 6072750224
Fax 6072750224

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
29 Specialists

Practicing in Ithaca, NY (4786 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NY 001553

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID New York State Certification
001553 (NY)
Commercial Insurance / Payer ID American Dietetic Association
718865 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2008

Registered at 202 E STATE ST, SUITE 402, ITHACA, NY 148505551 (Tel: 6072750224)

📍
Updated Business Mailing Address August 26, 2008

Registered at 202 E STATE ST, SUITE 402, ITHACA, NY 148505551 (Tel: 6072750224)

👤
Provider Name / Credentials Updated August 26, 2008

Recorded as SUSAN TRAVIS, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2008

Dietitian, Registered (License #001553 in NY)

🟢
Initial NPI Registration & Enumeration August 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649427261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2008
Last Update: August 26, 2008
Sole Proprietor: Yes

Mailing Address

202 E State St, Suite 402

Ithaca, NY 148505551

Phone: 6072750224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.