Kathryn Allyson Bush, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

086065832

Practice address

6328 Battle Mountain TRL
Fort Worth, TX 76179-2155

Phone

(817) 980-2713

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1245073097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6328 BATTLE MOUNTAIN TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761792155",
            "telephone_number": "817-980-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6328 BATTLE MOUNTAIN TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761792155",
            "telephone_number": "817-980-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KATHRYN",
        "middle_name": "ALLYSON",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88965",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "086065832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry L Buschel, DDS
• Melissa Buse
• Curtis Anderson Bush, MD
• Emily Bush, LVN
• Joy Amber Bush, MS
• Ali Busoul, DO
• Raina Busoul, BCBA, LBA
• Brandi Buss
• Eliana Buss
• Mark H Bussell, MD

• Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.