Mary Louise Burbank, RD
NPI 1922647601ActiveIndividual· Dietitian, Registered· Middletown, CT
Dietitian, Registered (RD) in Middletown, Connecticut, licensed in CT, with an NPI issued in December 2019. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1922647601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | No |
| NPI issued | Dec 30, 2019 |
| Last updated in NPPES | Dec 30, 2019 |
| Certified by provider | Dec 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 001431 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CT) |
|---|
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