Active NPIIndividual provider

Mrs. Jesse Busa, MS, RD, LDN

Dietitian, Registered in Dorchester, Massachusetts

NPI Number1003375841
Practice location
632 Blue Hill Ave, Dorchester, MA 02121-3293
Fax
617-825-7217
Last updated
March 19, 2019

Jesse Busa is a Dietitian, Registered based in Dorchester, MA. Jesse Busa practices in Dorchester, MA and has the professional credentials of MS, RD, LDN. The NPI Number for Jesse Busa is 1003375841 and holds a License No. 4631-NU-NU (MA). The current practice location address for Jesse Busa is 632 Blue Hill Ave, Dorchester, MA 02121-3293 and can be reached out via phone at 617-825-3400 and via fax at 617-825-7217.

Provider Profile Details

NPI Number
1003375841
Provider Name
Jesse Busa
Credential
MS, RD, LDN
Provider Entity Type
Individual
Gender
Female
Address
632 Blue Hill Ave, Dorchester, MA 02121-3293
Phone Number
617-825-3400
Fax Number
617-825-7217
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 19, 2019
Last Update Date
March 19, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
632 Blue Hill Ave
Dorchester, MA 02121-3293
Zip
02121-3293
Phone Number
617-825-3400
Fax Number
617-825-7217
Dorchester, MA 02121Get directions →

Provider Business Mailing Address Details

Address
632 Blue Hill Ave
Dorchester, MA 02121-3293
City
Dorchester
State
MA
Zip
02121-3293
Phone Number
617-825-3400
Fax Number
617-825-7217

License Information

License Number (1)
4631-NU-NU
License State (1)
MA
Taxonomy (1)
Nutritionist · 133N00000X
License Number (2)
86078381
Taxonomy (2)
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jesse Busa, MS, RD, LDN?

The NPI number of Mrs. Jesse Busa, MS, RD, LDN is 1003375841. It was assigned on March 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jesse Busa, MS, RD, LDN?

Mrs. Jesse Busa, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4631-NU-NU.

Where does Mrs. Jesse Busa, MS, RD, LDN practice?

The practice location is 632 Blue Hill Ave, Dorchester, MA 02121-3293. The office can be reached at 617-825-3400 (phone) or 617-825-7217 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003375841 directly on the NPPES registry website.

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