Active NPI
Kathryn Bush, R.D., C.D.
- Registered Dietitian
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2071-29
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4120 - Phone
- (715) 847-0024
- NPI assigned
- Jul 14, 2011
- Last updated
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2071-29 | WI | Primary |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Mailing address
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone (715) 847-0024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2720 Plaza Dr
Wausau, WI 54401-4166
4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400
425 Pine Ridge Blvd
Wausau, WI 54401-4123
5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 870-2162
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 77.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2071-29 | WI | MD | Registered Dietitian |
| 2071 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba Aspirus Perinatology Clinic
- Obstetrics & Gynecology Physician
- Wausau, WI
- NPI 1942084199
-
dba Aspirus Palliative Medicine- Wisconsin
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1124316963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014120",
"telephone_number": "715-847-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014120",
"telephone_number": "715-847-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "KATHRYN",
"credential": "R.D., C.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2071-29",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.