Individual provider Active NPI

Meghan Elizabeth Busky, MS, RDN

  • Registered Dietitian
  • Lake Villa, IL
National Provider Identifier
1144822909
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86080856
Practice address
18718 W Meadow Grass Dr
Lake Villa, IL 60046-6756
Phone
(224) 374-6580
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86080856 Primary

Addresses

Primary practice location

18718 W Meadow Grass Dr
Lake Villa, IL 60046-6756

Mailing address

18718 W Meadow Grass Dr
Lake Villa, IL 60046-6756
Phone (224) 374-6580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609001832 IL Practitioner - Registered Dietitian Or Nutrition Professional 1759891807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians

Practice addresses (Care Compare)

6307 S Stewart Ave
Suite 309
Chicago, IL 60621-3116
Phone (773) 962-3900

Hospital & facility affiliations

  • St Bernard Hospital Hospital, Chicago, IL, CCN 140103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernard Hospital & Health Care Center CurrentSince May 1, 2025 Accepting new patients
St Bernard Hospital Current Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince May 1, 2025 Accepting new patients
St Bernard Hospital & Health Care Center PastSince Jan 7, 2024 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

6307 S Stewart Ave
Ste 309
Chicago, IL 60621
Phone (773) 420-1573

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1144822909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18718 W MEADOW GRASS DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466756",
            "telephone_number": "224-374-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18718 W MEADOW GRASS DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466756",
            "telephone_number": "224-374-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKY",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86080856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.

Verify at the official NPI Registry.