Individual provider Active NPI

Anna Busenburg, RDN

  • Pediatric Nutrition Registered Dietitian
  • Harrison, OH
National Provider Identifier
1790287225
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Practice address
9443 Zola CT
Harrison, OH 45030-2839
Phone
(181) 234-4553
NPI assigned
Feb 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Pediatric Nutrition Registered Dietitian 133VN1004X Primary

Addresses

Primary practice location

9443 Zola CT
Harrison, OH 45030-2839

Mailing address

9443 Zola CT
Harrison, OH 45030-2839
Phone (181) 234-4553

Other practice location 1

4355 Winthrop Ave
Indianapolis, IN 46205-1971
Phone (812) 344-5531

Other practice location 2

580 E Carmel Dr Ste 302-320
Carmel, IN 46032-3317
Phone (317) 660-5737

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

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1790287225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9443 ZOLA CT",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302839",
            "telephone_number": "181-234-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9443 ZOLA CT",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302839",
            "telephone_number": "181-234-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4355 Winthrop Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462051971",
            "country_code": "US",
            "telephone_number": "812-344-5531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 E Carmel Dr Ste 302-320",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323317",
            "country_code": "US",
            "telephone_number": "317-660-5737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSENBURG",
        "first_name": "ANNA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.