=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588594998
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUSAN BUCHMANN RDN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/20/2026
-----------------------------------------------------
Last Update Date | 05/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 222 E SYLVAN AVE
-----------------------------------------------------
City | RUTLEDGE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19070-2126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-662-1402
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 222 E SYLVAN AVE
-----------------------------------------------------
City | RUTLEDGE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19070-2126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-662-1402
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | DN007236
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------