Chelsey Budlong
Individual provider Active NPI Registered Dietitian · Burton, MI
NPI 1952124406 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1952124406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86018990 (MI)
- Practice address
- 3273 Connecticut St
Burton, MI 48519-1547 - Phone
- (248) 880-8122
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86018990 | MI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86018990 | MI | Yes |
Addresses
Primary practice location
3273 Connecticut St
Burton, MI 48519-1547
Mailing address
3273 Connecticut St
Burton, MI 48519-1547
NPI Registry JSON
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1952124406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3273 CONNECTICUT ST",
"city": "BURTON",
"state": "MI",
"postal_code": "485191547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3273 CONNECTICUT ST",
"city": "BURTON",
"state": "MI",
"postal_code": "485191547",
"telephone_number": "248-880-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDLONG",
"first_name": "CHELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "86018990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burton, MI
- Bar'Shay NA'Toya Brewton-Wilson
- Devon Brickey
- Carrie Brown
- Echo Desivoy Brown
- Tabitha Farley Bucknam
- Jeffery Brian Bundy
- Parker Jay Bundy
- Lauren Burkhardt
- Burnett Afc
- Burnett Afc LLC
All providers in Burton, MI · Registered Dietitian in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.