KATELYN R BUSACCA (NPI# 1609387679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609387679 |
| Entity Type | Individual |
| Full Name | KATELYN R BUSACCA |
| Credential | RD, LDN |
| Practice Address |
9714 Healthway Dr Berlin MD 21811-1154 |
| Mailing Address |
10026 Old Ocean City Blvd Ste 1 Berlin MD 21811-1288 |
| Practice Telephone | 4106413340 |
| Practice Fax Number | 4106413341 |
| Mailing Telephone | 4106296007 |
| Mailing Fax Number | 4106419515 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86029792 | MD | Dietary & Nutritional Service Providers |
| Street Address |
9714 HEALTHWAY DR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522799 | Deborah Davis | Nurse Practitioner | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2005-10-18 |
| 1437768538 | Diane Elizabeth Skolka | Nurse Practitioner | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2020-07-24 |
| 1215574900 | Matthew Allen Powell | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2019-12-02 |
| 1043714306 | Atlantic General Hospital Corp | General Practice | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2018-03-21 |
| 1881070696 | Theresa Kleger | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2015-08-04 |
| 1356735880 | Bryce Blanton | Psychiatry & Neurology | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2015-03-23 |
| 1790034569 | Michelle L. Givens Farlow | Registered Nurse | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2012-09-07 |
| 1154638658 | Vanessa Sparta | Physician Assistant | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2010-09-03 |
| 1417180365 | Sharon Lynn Nayfack | Social Worker | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-08-26 |
| 1598903999 | Anita Pascucci | Pediatrics | 9714 Healthway Dr, Berlin, MD 21811-1154 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006637 | Lauren Holfeld | Dietitian, Registered | 9954 N Main St Unit 2, Berlin, MD 21811-1299 | 2019-04-23 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1669809208 | Jane M Grant | Dietitian, Registered | 37 Webster Square Rd, Berlin, CT 06037-2326 | 2013-09-27 |
| 1649402033 | Maureen Seyford Leser | Dietitian, Registered | 56 Boston Dr, Berlin, MD 21811-1597 | 2009-08-18 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1417151515 | Linda Yarnall Gibbs | Dietitian, Registered | 12544 River Run Ln, Unit 91, Berlin, MD 21811-3236 | 2007-06-13 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1558814764 | Emily T Engelke | Dietitian, Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-07-25 |
| 1629425160 | Grant's Nutrition and Wellness | Dietitian, Registered | 37 Webster Square Rd, Berlin, CT 06037-2326 | 2016-05-14 |
| 1689043242 | Michelle Clauson | Dietitian, Registered | 225 Memorial Dr, Berlin, WI 54923-1243 | 2015-09-24 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.