Active NPI
Anna Busenburg, RDN
- Pediatric Nutrition Registered Dietitian
- Harrison, OH
National Provider Identifier
1790287225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.