Active NPI
Kathleen Busa, RD, LDN
- Registered Dietitian
- Bedford, MA
National Provider Identifier
1386179786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4253
- Practice address
- 65 Wiggins Ave
Bedford, MA 01730-2338 - Phone
- (781) 276-1773
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 4253 | MA | Primary |
Addresses
Primary practice location
65 Wiggins Ave
Bedford, MA 01730-2338
Mailing address
65 Wiggins Ave
Bedford, MA 01730-2338
Phone (781) 276-1773
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4253 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1386179786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 WIGGINS AVE",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302338",
"telephone_number": "781-276-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 WIGGINS AVE",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302338",
"telephone_number": "781-276-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSA",
"first_name": "KATHLEEN",
"name_prefix": "Miss",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.