Kusher Functional Medicine Center PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KUSHER FUNCTIONAL MEDICINE CENTER PC

Practice address

76 Eastern Blvd Ste 103
Glastonbury, CT 06033-4382

Phone

(800) 735-2281

Fax

(888) 519-2097

NPI assigned

Sep 15, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Michael Kusher, DC

Title

President

Phone

(954) 214-0815

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dirk A Johns, FNP

  • Family Nurse Practitioner
  • Longmeadow, MA
  • NPI 1407984669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1083229165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD STE 103",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334382",
            "telephone_number": "800-735-2281",
            "fax_number": "888-519-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 EASTERN BLVD STE 103",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334382",
            "telephone_number": "800-735-2281",
            "fax_number": "888-519-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSHER FUNCTIONAL MEDICINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "KUSHER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-214-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://compassfatloss.mybodysite.com/",
            "affiliation": "N",
            "address_1": "76 Eastern Blvd Ste 103",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060334382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lorraine T Kulesa, APRN
• Rebecca Kulhay, LPCA
• Abhishek Kumar, M.D
• Gubbanna V Kumar, MD
• Maria A Kurylak, D.C.
• Polyxeni Kyriakopoulos-Cunningham, PSY.D.
• Michele P Labas, CNM
• Sarah Elizabeth Ladden, RDN
• Vicki Lynn Lafay, PT
• Aubrey Lamb, LCSW

• Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.