Active NPI
Patrice Murray Buisson, RD, LD
- Renal Nutrition Registered Dietitian
- Flowood, MS
National Provider Identifier
1366756678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- D1045
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D1045 | MS | MD | Renal Nutrition Registered Dietitian |
Interoperability endpoints
- 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.