Susanna Dundore, RD
NPI 1700731536ActiveIndividual· Dietitian, Registered· East Providence, RI
Dietitian, Registered (RD) with Evolution Nutrition Inc, practicing in East Providence, Rhode Island. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1700731536 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Feb 26, 2026 |
| Last updated in NPPES | Feb 26, 2026 |
| Certified by provider | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LDN01668 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (RI) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Evolution Nutrition IncEast Providence, RI · 25 clinicians
Other Dietitian, Registered providers in East Providence
- 1336265800
- 1013597764
- 1114127982
- 1689078966
- 1649749714
- 1174829873
- 1730033648
- 1942926977
- 1982320412
- 1992190847
- 1477262343
- 1174312458