Active NPI
Elizabeth Busetto, ND, DC, IBCLC
- Naturopath
- Sandy, OR
National Provider Identifier
1215115241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 1585
- Practice address
- 38706 Pioneer Blvd
Sandy, OR 97055-8008 - Phone
- (503) 954-3676
- Fax
- (503) 994-0294
- NPI assigned
- Jan 31, 2008
- Last updated
- Aug 23, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5521 | OR | |
| Naturopath | 175F00000X | 1585 | OR | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | L-89121 | NU |
Addresses
Primary practice location
38706 Pioneer Blvd
Sandy, OR 97055-8008
Mailing address
38706 Pioneer Blvd Ste 240
Sandy, OR 97055-8008
Phone (503) 954-3676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500675124 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1585 | OR | MD | Naturopath |
| 5521 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Busetto ND LLC | Past | Accepting new patients |
Organizations & group practices 1
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 Rose Natural Health
- Primary Care Clinic/Center
- Portland, OR
- NPI 1184173825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1215115241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38706 PIONEER BLVD STE 240",
"city": "SANDY",
"state": "OR",
"postal_code": "970558008",
"telephone_number": "503-954-3676",
"fax_number": "503-994-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38706 PIONEER BLVD",
"city": "SANDY",
"state": "OR",
"postal_code": "970558008",
"telephone_number": "503-954-3676",
"fax_number": "503-994-0294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSETTO",
"first_name": "ELIZABETH",
"credential": "ND, DC, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5521",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1585",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NU",
"license": "L-89121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500675124",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.