Individual provider Active NPI

Catherine Burttschell Scanlon, MS RD LD

  • Registered Dietitian
  • Chandler, AZ
National Provider Identifier
1235181009
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
01703 Issued in IA
Practice address
2460 E Germann Rd
Suite 18
Chandler, AZ 85286-1572
Phone
(480) 883-1188
Fax
(480) 883-1193
NPI assigned
May 17, 2006
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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 01703 IA Primary

Addresses

Primary practice location

2460 E Germann Rd
Suite 18
Chandler, AZ 85286-1572

Mailing address

2460 E Germann Rd
Suite 18
Chandler, AZ 85286-1572
Phone (480) 883-1188

Other names 1

  • Catherine Lynese Burttschell Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
01703IAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1235181009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 E GERMANN RD",
            "address_2": "SUITE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861572",
            "telephone_number": "480-883-1188",
            "fax_number": "480-883-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 E GERMANN RD",
            "address_2": "SUITE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861572",
            "telephone_number": "480-883-1188",
            "fax_number": "480-883-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANLON",
        "first_name": "CATHERINE",
        "middle_name": "BURTTSCHELL",
        "credential": "MS RD LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "01703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "BURTTSCHELL",
            "middle_name": "LYNESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.