Emily Buccola, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1080021 Issued in OR

Practice address

8050 SE 13TH Ave
Suite 204
Portland, OR 97202-6694

Phone

(562) 256-6161

NPI assigned

Sep 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409961600000",
    "number": "1235530528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVE",
            "address_2": "SUITE 258, PMB #535",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SE 13TH AVE",
            "address_2": "SUITE 204",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026694",
            "telephone_number": "562-256-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCOLA",
        "first_name": "EMILY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "1080021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Bubas Stevens, CPM, LDM
• Irvan Bubic, MD
• Angela Bublik
• Melissa Beth Buboltz, M.D.
• Katherine Bucciantini, AGPCNP, ANP
• Derek James Buchanan
• Faith Buchanan, M.A.
• Isaiah Buchanan, COTA/L
• Jade Buchanan, LCSW
• James Buchanan, PHARM.D.

• Registered Dietitian in Portland, OR
• Providers in Portland, OR by specialty
• Registered Dietitian in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.