Individual provider Active NPI

Patrice Murray Buisson, RD, LD

  • Renal Nutrition Registered Dietitian
  • Flowood, MS
National Provider Identifier
1366756678
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
D1045 Issued in MS
Practice address
1040 River Oaks Dr Ste 304
Flowood, MS 39232-9575
Phone
(601) 936-1170
Fax
(601) 936-1331
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X D1045 MS Primary

Addresses

Primary practice location

1040 River Oaks Dr Ste 304
Flowood, MS 39232-9575

Mailing address

1040 River Oaks Dr Ste 304
Flowood, MS 39232-9575
Phone (601) 936-1170

Other practice location 1

2550 Flowood Dr
Suite 403
Flowood, MS 39232-9303
Phone (601) 936-1170

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrice.buisson.1@4695.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1045MSMDRenal Nutrition Registered Dietitian

Interoperability endpoints

  • Direct secure messaging: patrice.buisson.1@4695.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1366756678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 304",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329575",
            "telephone_number": "601-936-1170",
            "fax_number": "601-936-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR STE 304",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329575",
            "telephone_number": "601-936-1170",
            "fax_number": "601-936-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 Flowood Dr",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329303",
            "country_code": "US",
            "telephone_number": "601-936-1170",
            "fax_number": "601-936-1331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUISSON",
        "first_name": "PATRICE",
        "middle_name": "MURRAY",
        "name_prefix": "Mrs.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MS",
            "license": "D1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrice.buisson.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1040 River Oaks Dr Ste 304",
            "city": "Flowood",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392329575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.