SHEILA BUSH (NPI# 1083178313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083178313 |
| Entity Type | Individual |
| Full Name | SHEILA BUSH |
| Practice Address |
12791 Se 47th Ave Belleview FL 34420 |
| Mailing Address |
12791 Se 47th Ave Belleview FL 34420-5014 |
| Practice Telephone | 3523479122 |
| Practice Fax Number | 3523479122 |
| Mailing Telephone | 3523479122 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | FL | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009907300 | 05 |
| Street Address |
12791 SE 47TH AVE |
| City | BELLEVIEW |
| State | FL |
| Zip Code | 34420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1780043992 | Katelyn Garrett | Registered Nurse | 11855 Se 74th Terrace, Belleview, FL 34420 | 2016-02-16 |
| 1982092458 | Tracy Mattia | Pharmacist | 11310 Se Us Hwy 301, Belleview, FL 34420 | 2015-01-06 |
| 1245666171 | Hayden Lee Durham I | Pharmacist | 10762 South Us 441, Belleview, FL 34420 | 2013-09-24 |
| 1285060608 | Cindy Marlene Merritt | Pharmacist | 10762 Se Hwy 441, Belleview, FL 34420 | 2013-09-17 |
| 1861751059 | Marcus Alan Mallory | Pharmacist | 10393-97 Se Hwy 441-27, Belleview, FL 34420 | 2012-05-09 |
| Find all providers in zip 34420 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
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| 1629685201 | Lynda Wilkes Dekold | Technician | 4110 Sw 63rd Blvd, Gainesville, FL 32608-3924 | 2020-09-28 |
| 1134736952 | Robin Lynn Knight | Technician | 1125 Anolas Way, Lutz, FL 33548-2902 | 2020-09-25 |
| 1689289969 | Golden Life Senior Services LLC | Technician | 2595 Sanford Ave, Sanford, FL 32773-4606 | 2020-09-13 |
| 1760096945 | Hermina Cyntje | Technician | 13060 Waterbourne Dr, Gibsonton, FL 33534-3908 | 2020-09-03 |
| 1154933273 | Erica Petithomme | Technician | 3935 Ne 22nd Ave, Cape Coral, FL 33909-3282 | 2020-08-19 |
| 1063021889 | Stacey Wilcox | Technician | 1447 Nw Wayne Pl Apt 105, Lake City, FL 32055-6107 | 2020-07-28 |
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1689290264 | Amanda Michelle White | Technician | 938 Geary St Sw, Palm Bay, FL 32908-4206 | 2020-06-19 |
| 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.