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MARY LOUISE BURBANK RD
NPI 1922647601
Dietitian, Registered in Middletown, CT

Active since December 30, 2019
97.27/100
CMS Quality Rating
540 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457(860) 287-1078 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Louise Burbank Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOUISE BURBANK RD (NPI 1922647601) is an individual dietitian, registered in Middletown, Connecticut, licensed in Connecticut (001431) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1922647601
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMARY LOUISE BURBANKCredential: RD
Location Address540 SAYBROOK RD STE 100Middletown, CT 06457-4760
Mailing Address179 Russell StMiddletown, CT 06457-4323
Phone(860) 287-1078
Sole ProprietorNo
Enumeration DateDecember 30, 2019
✔ NPI 1922647601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CT · 001431
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
540 SAYBROOK RD STE 100, Middletown, CT 06457
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Other Names 1

Former Name (1)Mary Louise Gates Rd

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERTRISA R MCWHITE MD
Surgery (Surgical Oncology)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MHS PRIMARY CARE INC.
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2780
DAVID AUGENBLICK MD
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
JAMES MICHAEL PARKER MD
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
DR. ANDREA MARIE MALON M.D.
Surgery (Surgical Oncology)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
ROBERT COOPER BROWN PA
Physician Assistant
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MS. DEBRA AUGUST KING PA, PHD
Physician Assistant (Surgical)
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850
MHS PRIMARY CARE INC.
Surgery
540 SAYBROOK RD STE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Burbank's NPI number?

The NPI number for Mary Burbank is 1922647601. It was assigned to this individual provider in the NPPES registry on December 30, 2019. The provider is also known as Mary Louise Gates Rd.

Where is Mary Burbank located?

Mary Burbank practices at 540 Saybrook Rd Ste 100, Middletown, CT 06457. The listed phone number is (860) 287-1078.

What is Mary Burbank's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Mary Burbank was last updated on December 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.