Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609090372 Deactivated / Inactive NPI Female Practitioner

Susan Kay Pacific , RD, LD

Dietitian, Registered • Norman, OK

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Pacific has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2007
NPI Deactivation Date June 14, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Susan Pacific, RD, LD was a registered Dietitian, Registered practicing in Norman, OK. Throughout an active medical career spanning 16 years, Susan Pacific provided care at the practice location at 3400 W TECUMSEH RD until profile deactivation on 2023-06-14.

Historical Medicare Part B clinical services included medical nutrition therapy, assessment and intervention, each, therapy procedure reassessment for nutrition management, each, diabetes outpatient self-management training services, individual, per. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3400 W Tecumseh Rd
Ste 206

Norman, OK 730721810

Telephone 4053075731
Fax 4053073719
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Norman, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.2 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
60 Specialists

Practicing in Norman, OK (958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
264 49 $61.00 $29.04
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
143 37 $53.00 $24.54

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License OK 958

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sarah Barnes , MS, RD, LD

Dietitian, Registered

NPI 1245530971

Master of Science, Registered Dietitian, Licensed Dietitian

Christie Bruehl , RD LD

Dietitian, Registered

NPI 1437269537

RDLD

Teresa Brown , RD

Dietitian, Registered

NPI 1952527046

Registered Dietitian

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 23, 2025

Registered at 3400 W TECUMSEH RD, STE 206, NORMAN, OK 730721810 (Tel: 4053075731)

📍
Updated Business Mailing Address January 23, 2025

Registered at PO BOX 1330, NORMAN, OK 730701330 (Tel: 4053076630)

👤
Provider Name / Credentials Updated January 23, 2025

Recorded as SUSAN PACIFIC, RD,LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2025

Dietitian, Registered (License #958 in OK)

⚠️
NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active February 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2015

Registered at 3400 W TECUMSEH RD, STE 206, NORMAN, OK 730721810 (Tel: 4053075731)

📍
Updated Business Mailing Address February 24, 2015

Registered at PO BOX 1330, NORMAN, OK 730701330 (Tel: 4053076630)

👤
Provider Name / Credentials Updated February 24, 2015

Recorded as SUSAN PACIFIC, RD,LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2015

Dietitian, Registered (License #958 in OK)

🟢
Initial NPI Registration & Enumeration April 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Susan Pacific. Be the first to share your experience!

Sign in to leave a review for Susan Pacific

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609090372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: January 23, 2025
Deactivation Date: June 14, 2023
Sole Proprietor: No

Mailing Address

Po Box 1330

Norman, OK 730701330

Phone: 4053076630

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.