Healthcare Provider Details

I. General information

NPI: 1356262257
Provider Name (Legal Business Name): SUSAN DEERR MS, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SWINBURNE ST
RALEIGH NC
27610-1834
US

IV. Provider business mailing address

3485 RISE DR
MORRISVILLE NC
27560-5923
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-1599
  • Fax: 919-743-4882
Mailing address:
  • Phone: 919-413-0291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL010134
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: