JACKIE BUSCH (NPI# 1184728610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728610 |
| Entity Type | Individual |
| Full Name | JACKIE BUSCH |
| Credential | R.D. |
| Practice Address |
320 Hospital Rd Canton GA 30114-2432 |
| Practice Telephone | 7704795535 |
| Practice Fax Number | 7704798821 |
| Mailing Telephone | 7704795535 |
| Mailing Fax Number | 7704798821 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
320 HOSPITAL RD |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881665248 | Steven M Lobel | Pain Medicine | 320 Hospital Rd, Canton, GA 30114-2432 | 2006-02-01 |
| 1699252387 | Michael C Paine | Registered Nurse | 320 Hospital Rd, Canton, GA 30114-2410 | 2018-07-25 |
| 1457747313 | Nonna R Livits | Family Medicine | 320 Hospital Rd, Canton, GA 30114-2410 | 2015-04-07 |
| 1083041867 | Medical Associates Professional Services, LLC | Chiropractor | 320 Hospital Rd, Canton, GA 30114-2432 | 2013-10-11 |
| 1992147193 | Georgia Urology Pa | Urology | 320 Hospital Rd, Med Assoc of No Ga, Canton, GA 30114-2432 | 2013-07-29 |
| 1407290273 | Jessica Robin Feehan | Nurse Practitioner | 320 Hospital Rd, Canton, GA 30114-2432 | 2013-04-24 |
| 1285909515 | Salvatore Adolfo Bruni | Family Medicine | 320 Hospital Rd, Canton, GA 30114 | 2012-03-20 |
| 1568742237 | Kimberly Finley | Pharmacist | 320 Hospital Rd, Canton, GA 30114-2432 | 2011-08-25 |
| 1902036999 | Janice Denise Reed | Nurse Practitioner | 320 Hospital Rd, Canton, GA 30114-2432 | 2009-07-23 |
| 1073755195 | Lakeisha Joyce Blair-watson | Family Medicine | 320 Hospital Rd, Canton, GA 30114-2432 | 2009-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1649884677 | Nicole Bruno | Dietitian, Registered | 175 Albany Dr Nw, Canton, OH 44708-5019 | 2020-09-08 |
| 1942825039 | Stephanie Young | Dietitian, Registered | 332 Mountain Laurel Walk, Canton, GA 30114-5747 | 2020-06-15 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1710459227 | Hunter Bahre | Dietitian, Registered | 220 Albany Tpke Unit 1, Canton, CT 06019-7000 | 2018-12-21 |
| 1760953608 | Ellsworth Smith | Dietitian, Registered | 347 Aultman Ave Nw, Canton, OH 44708-5526 | 2018-12-17 |
| 1144796012 | Jessica Helmick | Dietitian, Registered | 6300 N Haggerty Rd Ste 100, Canton, MI 48187-4472 | 2018-10-18 |
| 1679009583 | Cynthia Erickson | Dietitian, Registered | 44223 Sheridan St, Canton, MI 48187-1925 | 2017-05-11 |
| 1134662232 | Claudia Nouhan | Dietitian, Registered | 4452 Hunters Cir E, Canton, MI 48188-2357 | 2016-11-22 |
| 1134582778 | Nutrition To The Max LLC | Dietitian, Registered | 4639 Timberline Dr, Canton, MI 48188-2210 | 2016-03-31 |
| 1104297555 | Kathryn Marie Russell | Dietitian, Registered | 2543 Woodmont Dr E, Canton, MI 48188 | 2015-10-12 |
| Find all providers in CANTON | ||||
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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.