S Elise Bratcher Cushman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

074.0134366 Issued in VT

Practice address

3522 RT 113
Thetford, VT 05074

Phone

(802) 333-9003

NPI assigned

Apr 10, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elise Bratcher Cushman Professional name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nutrition on a Budget LLC

  • Metabolic Nutrition Registered Dietitian
  • Thetford Center, VT
  • NPI 1659102853
  Medicare reassignment NPD
• The Mind Body Soul Collective LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1952102717
  NPD (past)

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1184477044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "THETFORD",
            "state": "VT",
            "postal_code": "050740052",
            "telephone_number": "802-333-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 RT 113",
            "city": "THETFORD",
            "state": "VT",
            "postal_code": "05074",
            "telephone_number": "802-333-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "S ELISE",
        "middle_name": "BRATCHER",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": "NH",
            "license": "0613",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VT",
            "license": "074.0134366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "CUSHMAN",
            "middle_name": "BRATCHER",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Licia Berry-Berard, MSW, Licsw LLC
• Little Rivers Health Care, Inc.
• Jordi Loaeza, LMT
• Jessica Beth Londa, PH.D.

• Registered Dietitian in Thetford, VT
• Providers in Thetford, VT by specialty
• Registered Dietitian in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.