Stephanie Buszka-Sobol

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

892671 Issued in MI

Practice address

411 Naomi St
Plainwell, MI 49080-1222

Phone

(269) 685-4596

NPI assigned

Feb 14, 2007

Last updated

Nov 22, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1861535601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NAOMI ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801222",
            "telephone_number": "269-685-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSZKA-SOBOL",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": "892671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Blank
• Borgess Medical Center
• Borgess Medical Center
• Juliann Bradish
• Katherine M Burke-Pappas, PHARM.D.
• Lawrence Edwin Calley, D.D.S., M.S., P.C.
• Caring Companions Kalamazoo
• Elizabeth Marie Carrington, FNP-RN
• Brittany Ann Nora Casto
• Kristin Rae Cekander, DPT

• Registered Dietitian in Plainwell, MI
• Providers in Plainwell, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.