Kathryn Bussey Filipiak, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

988528 Issued in GA

Practice address

120 Gordon St
Washington, GA 30673-1602

Phone

(706) 678-2151

Fax

(706) 678-3986

NPI assigned

Aug 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn Williams Bussey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1194072124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GORDON ST",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731602",
            "telephone_number": "706-678-2151",
            "fax_number": "706-678-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GORDON ST",
            "city": "WASHINGTON",
            "state": "GA",
            "postal_code": "306731602",
            "telephone_number": "706-678-2151",
            "fax_number": "706-678-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPIAK",
        "first_name": "KATHRYN",
        "middle_name": "BUSSEY",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "988528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BUSSEY",
            "middle_name": "WILLIAMS",
            "credential": "R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Washington, GA
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.