Active NPIIndividual provider

S Elise B Cushman, RD

Dietitian, Registered in Thetford, Vermont

NPI Number1184477044
Practice location
3522 Rt 113, Thetford, VT 05074
Fax
—
Last updated
April 10, 2024

S Elise Bratcher Cushman is a Dietitian, Registered based in Thetford, VT. S Elise Bratcher Cushman practices in Thetford, VT and has the professional credentials of RD. The NPI Number for S Elise Bratcher Cushman is 1184477044 and holds a License No. 0613 (NH). The current practice location address for S Elise Bratcher Cushman is 3522 Rt 113, Thetford, VT 05074 and can be reached out via phone at 802-333-9003.

Provider Profile Details

NPI Number
1184477044
Provider Name
S Elise Bratcher Cushman
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
3522 Rt 113, Thetford, VT 05074
Phone Number
802-333-9003
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
Elise Bratcher Cushman, RD (Professional Name)
Provider Enumeration Date
April 10, 2024
Last Update Date
April 10, 2024
Certification Date
April 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3522 Rt 113
Thetford, VT 05074
State
Vermont
Zip
05074
Phone Number
802-333-9003
Thetford, VT 05074Get directions →

Provider Business Mailing Address Details

Address
Po Box 52
Thetford, VT 05074-0052
City
Thetford
State
VT
Zip
05074-0052
Phone Number
802-333-9003

License Information

License Number (1)
0613
License State (1)
NH
License Number (2)
074.0134366
License State (2)
VT
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 S Elise B Cushman, RD?

The NPI number of S Elise B Cushman, RD is 1184477044. It was assigned on April 10, 2024 and is currently active in the NPPES registry.

What is the specialty of S Elise B Cushman, RD?

S Elise B Cushman, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NH under license number 0613.

Where does S Elise B Cushman, RD practice?

The practice location is 3522 Rt 113, Thetford, VT 05074. The office can be reached at 802-333-9003 (phone).

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 1184477044 directly on the NPPES registry website.

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