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

Individual provider Registered Dietitian · NPI 1700731536

Susanna Dundore, RD is a Registered Dietitian OR Nutrition Professional in East Providence, Rhode Island. Qualified in 2025, 1 year ago. Practices with Evolution Nutrition Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2026
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

450 Veterans Memorial Pkwy Ste 8C
East Providence, RI 02914-5300
Phone: (401) 396-9369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LDN01668 (RI)

Record details

NPI number1700731536
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address44 Oconnell St, Lewiston, ME 04240-6151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Evolution Nutrition Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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