Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia D Susilla, BS

Individual provider Registered Dietitian · NPI 1154315968

Alicia D Susilla, BS is a Registered Dietitian in Longview, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

600 Broadway St
Longview, WA 98632-3256
Phone: (360) 414-2200
Fax: (360) 414-2210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DI00001601 (WA)

Record details

NPI number1154315968
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESJuly 9, 2007

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