Active NPI
Colleen Bush, RDN
- Registered Dietitian
- Powell, OH
National Provider Identifier
1669197273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6643
- Practice address
- 7722 Bachman Dr
Powell, OH 43065-6150 - Phone
- (440) 477-1883
- NPI assigned
- Oct 5, 2022
- Last updated
- Oct 5, 2022
- 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 | 6643 | OH | Primary |
Addresses
Primary practice location
7722 Bachman Dr
Powell, OH 43065-6150
Mailing address
7722 Bachman Dr
Powell, OH 43065-6150
Phone (440) 477-1883
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 |
|---|---|---|---|
| 6643 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1669197273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7722 BACHMAN DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430656150",
"telephone_number": "440-477-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7722 BACHMAN DR",
"city": "POWELL",
"state": "OH",
"postal_code": "430656150",
"telephone_number": "440-477-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "COLLEEN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Powell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.