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Active NPI 1124236385 Individual Practitioner Female Practitioner

Suzanne Carol Ickes , RD, LDN

Dietitian, Registered • Bethlehem, PA

Professional Overview & Biography Verified Profile Summary

Suzanne Ickes, RD, LDN is a registered healthcare professional specializing in Dietitian, Registered in Bethlehem, PA. Practice services are available at 2545 SCHOENERSVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2545 Schoenersville Rd
Lehighvalley Hospital -Clinical Nutrition

Bethlehem, PA 180177300

Telephone 4847881255
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bethlehem, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Bethlehem, PA (3119 Statewide)

Telehealth Adoption Rate
7.1% 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 PA DN001762

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 Independence Blue Cross
2630546000 (PA)
Commercial Insurance / Payer ID Keystone Health East
2630546000 (PA)
Commercial Insurance / Payer ID Highmark Blue Shield For Federal Employees
001793520 (PA)
Commercial Insurance / Payer ID Aetna Us Healthcare
2624640 (PA)
Commercial Insurance / Payer ID Personalchoice/bluechoice
2630546000 (PA)
Commercial Insurance / Payer ID Medicare Provider Number
055154 (PA)
Commercial Insurance / Payer ID Amerihealth
001793520000 (PA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Stephanie Cohrac , DO

Emergency Medicine

NPI 1003127291

Doctor of Osteopathic Medicine (D.O.)

Christine Gabrielle , CRNP

Nurse Practitioner - Family

NPI 1003603150

Certified Registered Nurse Practitioner

Dr. Michael Wong , MD

Emergency Medicine

NPI 1003745514

Doctor of Medicine (M.D.)

Amanda Stone , RD

Dietitian, Registered

NPI 1013525443

Registered Dietitian

Stacy Spadt , LCSW

Social Worker - Clinical

NPI 1013865393

Licensed Clinical Social Worker

Dr. Gonzalo Pimentel , MD

Internal Medicine

NPI 1013940592

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2016

Registered at 2545 SCHOENERSVILLE RD, LEHIGHVALLEY HOSPITAL -CLINICAL NUTRITION, BETHLEHEM, PA 180177300 (Tel: 4847881255)

📍
Updated Business Mailing Address September 28, 2016

Registered at 45 WARWICK ST, SUITE 100, BETHLEHEM, PA 180182431 (Tel: 4847881255)

👤
Provider Name / Credentials Updated September 28, 2016

Recorded as SUZANNE ICKES, R.D., LDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2016

Dietitian, Registered (License #DN001762 in PA)

🟢
Initial NPI Registration & Enumeration May 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124236385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2007
Last Update: September 28, 2016
Sole Proprietor: Yes

Mailing Address

45 Warwick St, Suite 100

Bethlehem, PA 180182431

Phone: 4847881255

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.