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Active NPI 1407347297 Individual Practitioner Female Practitioner

Susan Banuelos Smith , MS RD LD CDE

Dietitian, Registered • Mesquite, TX

Professional Overview & Biography Verified Profile Summary

Susan Smith, MS RD LD CDE is a registered healthcare professional specializing in Dietitian, Registered in Mesquite, TX. Practice services are available at 5308 N GALLOWAY AVE STE 200 under active NPI credentials.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each, therapy procedure reassessment for nutrition management, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5308 N Galloway Ave Ste 200

Mesquite, TX 751501125

Telephone 2143582300
Fax 2145796754
Associated Practice Facility / Clinic
🏢 Dallas Nephrology Associates Facility NPI 1861440109

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Mesquite, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Mesquite, TX (5148 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.2% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
569 95 $55.00 $29.60
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
84 16 $49.05 $23.26

Medical Specialties & State Licenses

CMS Verified: 2022-09-23
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT05851

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 Registered Dietitian
DT05851 (TX)

Secondary Practice Locations

8515 Greenville Ave Ste N108

Dallas, TX 752437035

Phone: 2142210855

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dyann Minton

Nurse Practitioner

NPI 1013603950
Dr. Xunxi Guo , MD

Internal Medicine - Nephrology

NPI 1033553722

Doctor of Medicine (M.D.)

Amy Adams , RDN

Dietitian, Registered

NPI 1033706411

Registered Dietitian Nutritionist

NPI 1043442254

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Stephanie Rice , RD

Dietitian, Registered

NPI 1053280735

Registered Dietitian

Dr. Rehana Saquib , MD

Internal Medicine - Nephrology

NPI 1053370346

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 23, 2022

Registered at 5308 N GALLOWAY AVE STE 200, MESQUITE, TX 751501125 (Tel: 2143582300)

📍
Updated Practice Location May 24, 2022

Registered at 8515 GREENVILLE AVE STE N108, DALLAS, TX 752437035 (Tel: 2142210855)

📍
Updated Practice Location June 15, 2018

Registered at 3801 W 15TH ST STE 214, PLANO, TX 75075 (Tel: 4694670400)

👤
Provider Name / Credentials Updated June 15, 2018

Recorded as SUSAN SMITH, MS RD LD CDE

NPI Profile Active May 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2018

Registered at 3801 W 15TH ST STE 214, PLANO, TX 750757788 (Tel: 4694670400)

📍
Updated Business Mailing Address May 29, 2018

Registered at 447 LAKEDALE DR, MURPHY, TX 750944289 (Tel: 4697340822)

👤
Provider Name / Credentials Updated May 29, 2018

Recorded as SUAN SMITH, MS RD LD CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Dietitian, Registered (License #DT05851 in TX)

🟢
Initial NPI Registration & Enumeration May 29, 2018

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: 1407347297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2018
Last Update: September 23, 2022
Sole Proprietor: Yes

Mailing Address

447 Lakedale Dr

Murphy, TX 750944289

Phone: 4697340822

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.