Janette Marie Burbach, RDN LDN CDE
Individual provider Active NPI Registered Dietitian · Colby, KS
NPI 1326181553 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1326181553
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 2059 (KS)
- Practice address
- 100 E College Dr
Colby, KS 67701-3702 - Phone
- (785) 460-1430
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 6TH St
Hugo, CO 80821-2002
4455 E Camelback Rd
Suite D155
Phoenix, AZ 85018-2888
6900 E Camelback Rd
Suite 850
Scottsdale, AZ 85251-2443
8550 County Rd
Suite 5
Flagler, CO 80815
PO Box
Suite 248
Hugo, CO 80821
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170727002147 | KS | Practitioner - Registered Dietitian Or Nutrition Professional | 2769752468 | Reassigns benefits to 3 organizations |
| I20260312003196 | CO | Practitioner - Registered Dietitian Or Nutrition Professional | 2769752468 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2059 | KS | MD | Registered Dietitian |
| 575 | NE | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellsworth County Medical Center | Current |
Accepting new patients | |
| Ellsworth County Medical Center | Current |
Accepting new patients | |
| Lincoln Community Hospital | Current |
Accepting new patients | |
| Gove County Medical Center | Current | Accepting new patients | |
| Lincoln Community Hospital | Current |
Accepting new patients | |
| Ellsworth County Medical Center | Past | Accepting new patients | |
| Ellsworth County Medical Center | Past | Accepting new patients | |
| Ellsworth County Medical Center | Past | Accepting new patients | |
| Ellsworth County Medical Center | Past | Accepting new patients |
Locations
1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111
1602 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 575 | NE | |
| Registered Dietitian | 133V00000X | 2059 | KS | Yes |
Addresses
Primary practice location
100 E College Dr
Colby, KS 67701-3702
Mailing address
100 E College Dr
Colby, KS 67701-3702
Phone (785) 460-1430
Other practice location 1
601 W Leota St
North Platte, NE 69101-6525
Phone (308) 696-7520
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2059 | Other | KS | KANSAS DEPT FOR AGING AND DIABILITY SERVICES HEALTH OCCUPATIONS CREDENTIALING |
Other names
- Janette Marie Neel
Other providers in Colby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.