Active NPI
Anna Bessonova
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1861817256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 007803
- Practice address
- 13905 Carmel Valley Rd Apt 252
San Diego, CA 92130-5668 - Phone
- (212) 470-2735
- NPI assigned
- Feb 21, 2014
- 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 | 007803 | NY | Primary |
Addresses
Primary practice location
13905 Carmel Valley Rd Apt 252
San Diego, CA 92130-5668
Mailing address
515 E 7TH St
Apt 4R
Brooklyn, NY 11218-4852
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007803 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insightful Nutrition and Wellness | Dietitian, Registered | Current | Accepting new patients |
| Anna Bessonova Insightful Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- San Marcos, CA
- NPI 1235820226
Dietitian, Registered
-
- Registered Dietitian
- Brooklyn, NY
- NPI 1972972107
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1861817256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E 7TH ST",
"address_2": "APT 4R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13905 CARMEL VALLEY RD APT 252",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921305668",
"telephone_number": "212-470-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESSONOVA",
"first_name": "ANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "007803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.