Active NPI
Madeline Burson, MDN, RDN, LD
- Registered Dietitian
- Dayton, OH
National Provider Identifier
1366390106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.11487
- Practice address
- 2555 S Dixie Dr Ste 112
Dayton, OH 45409-1532 - Phone
- (937) 220-6611
- NPI assigned
- Mar 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD.11487 | OH | Primary |
Addresses
Primary practice location
2555 S Dixie Dr Ste 112
Dayton, OH 45409-1532
Mailing address
2555 S Dixie Dr Ste 112
Dayton, OH 45409-1532
Phone (937) 220-6611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2555 S Dixie Dr
Suite 112
Dayton, OH 45409-1539
Phone (937) 220-6611
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD.11487 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifecare Alliance | Past | Accepting new patients | |
| Lifecare Alliance | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Columbus, OH
- NPI 1669429544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1366390106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 S DIXIE DR STE 112",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091532",
"telephone_number": "937-220-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 S DIXIE DR STE 112",
"city": "DAYTON",
"state": "OH",
"postal_code": "454091532",
"telephone_number": "937-220-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSON",
"first_name": "MADELINE",
"credential": "MDN, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.11487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.