STEPHANIE LYNN BUSH (NPI# 1023584992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023584992 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN BUSH |
| Credential | APNP |
| Practice Address |
160 Gateway Dr Waupun WI 53963 |
| Mailing Address |
160 Gateway Dr Waupun WI 53963-2276 |
| Practice Telephone | 9203249899 |
| Practice Fax Number | 9203249899 |
| Mailing Telephone | 9203249899 |
| Mailing Fax Number | 9203249899 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8779-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 160 Gateway Dr, Waupun, WI 53963 | 9203249899 | 9203249898 |
| 19265 W Capitol Dr, Brookfield, WI 530452740 | 2625996401 | 3147872141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831603562 | Stephanie Bush | Behavior Technician | 10920 Moss Park Rd, Orlando, FL 32832-6086 | 2017-11-16 |
| 1710348107 | Stephanie Bush | Nurse Practitioner | 8110 Wesley St, Greenville, TX 75402 | 2016-03-11 |
| 1629319264 | Stephanie Lane Bush | Social Worker | 1660 S Columbian Way, Seattle, WA 98108-1532 | 2013-03-06 |
| 1467797324 | Stephanie Bush | Speech-Language Pathologist | 500 John Aldridge Dr, Tuscumbia, AL 35674-3000 | 2012-12-04 |
| 1649443029 | Stephanie Bush | Physical Therapist | 3901 University Blvd S, Jacksonville, FL 32216-4312 | 2008-04-08 |
| 1659541233 | Stephanie H. Bush | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2008-03-10 |
| Street Address |
160 GATEWAY DR |
| City | WAUPUN |
| State | WI |
| Zip Code | 53963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598389801 | Chelsea Ann Moldenhauer | Chiropractor | 160 Gateway Dr, Waupun, WI 53963-2276 | 2020-06-02 |
| 1003368630 | Nathaniel Alan Drees | Chiropractor | 160 Gateway Dr, Waupun, WI 53963-2276 | 2016-10-31 |
| 1467676338 | Waupun Chiropractic Center, S.c. | Chiropractor | 160 Gateway Dr, Waupun, WI 53963-2276 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
| 1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
| 1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
| 1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
| 1588817365 | Senior Community Center Management of Waupun, LLC | Assisted Living Facility | 450 E Franklin Street, Waupun, WI 53963 | 2008-10-24 |
| 1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
| 1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
| 1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
| 1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
| 1477537249 | Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963 | 2005-12-05 |
| Find all providers in zip 53963 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821362468 | Kristin M Auer | Nurse Practitioner | 620 E Brown St, Waupun, WI 53963-1702 | 2012-02-29 |
| 1346224029 | Peggy L Keuler | Nurse Practitioner | 1 W Lincoln St, Waupun, WI 53963-1949 | 2005-12-06 |
| 1306840350 | Vb Anesthesia | Nurse Practitioner | 620 W Brown St, Waupun, WI 53963-1702 | 2005-06-08 |
| 1639129810 | Janette L Drews | Nurse Practitioner | 608 W Brown St, Waupun, WI 53963-1702 | 2006-05-11 |
| 1891757027 | Nancy Anne Garcia | Nurse Practitioner | 1 W Lincoln St, P.o. 661, Waupun, WI 53963-1949 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.