Cassandra M Bursma

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86015510 Issued in MA

Practice address

611 Wilshire Blvd Ste 1002
Los Angeles, CA 90017-2906

Phone

(213) 373-6647

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1841965076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S JACKSON ST APT 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093362",
            "telephone_number": "978-494-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSHIRE BLVD STE 1002",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172906",
            "telephone_number": "213-373-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSMA",
        "first_name": "CASSANDRA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "86015510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Insync",
            "affiliation": "N",
            "address_1": "611 Wilshire Blvd Ste 1002",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900172906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Akeive Jemayl Burrows
• Maureen Dolores Burruel, MSW
• Brainard Monroe Burrus II, MD
• Shawn Burruss
• Brenda Bursch, PHD
• Makyla Cielo Burson
• Steven Burstein, M.D.
• Charles Joel Burstin, M.D.
• Bryan Michael Burt, M.D.
• Julia Burt

• Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.