Cayla Jablonski Bousaba, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86087622 Issued in NU

Practice address

420 Libbie Ave Ste 200
Richmond, VA 23226-2664

Phone

(828) 443-5789

NPI assigned

Oct 5, 2018

Last updated

Nov 18, 2022By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Nutrition Preferred, LLC

  • Health Service Clinic/Center
  • Richmond, VA
  • NPI 1154990091
  NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1326513391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LIBBIE AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262664",
            "telephone_number": "828-443-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LIBBIE AVE STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262664",
            "telephone_number": "828-443-5789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSABA",
        "first_name": "CAYLA",
        "middle_name": "JABLONSKI",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": "86087622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bouldin
• Camryn Bouldin, RBT
• Boundless Potential, LLC
• Iliana Simeonova Bouneva, MD
• Coffee Bourne, CRNA
• Nada Bouzaiene, DMD
• Nicole Lynn Bowden, LPTA
• Tressy J Bowe, LPC
• Caitlin M Bowen, LPC
• Elmo Bowen Jr., DDS

• Registered Dietitian in Richmond, VA
• Providers in Richmond, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.