MS. KIM KROEGER-BUSHELL (NPI# 1104191097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104191097 |
| Entity Type | Individual |
| Full Name | MS. KIM KROEGER-BUSHELL |
| Credential | PMHNP |
| Practice Address |
7 Croton Avenue Cortlandt Manor NY 10567 |
| Practice Telephone | 9149625800 |
| Practice Fax Number | 3153264290 |
| Mailing Telephone | 9149625800 |
| Mailing Fax Number | 3153264290 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 474578-1 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402471 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7 CROTON AVENUE |
| City | CORTLANDT MANOR |
| State | NY |
| Zip Code | 10567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902454101 | Daniel George Scott | Physical Therapist | 2050 E Main Street #4, Cortlandt Manor, NY 10567 | 2019-08-30 |
| 1073025482 | Chanelle Wilson | Nurse Practitioner | 249 Millington Rd, Cortlandt Manor, NY 10567 | 2017-10-26 |
| 1578961611 | Kristie Plocinski | Registered Nurse | 4 Barger St., Cortlandt Manor, NY 10567 | 2014-12-05 |
| 1215369301 | Pamela M. Turner | Licensed Practical Nurse | 1186 B Oregon Road, Cortlandt Manor, NY 10567 | 2013-07-31 |
| 1013284447 | J. Murray Gruss | Dentist | 2117 Crompond Rd., Cortlandt Manor, NY 10567 | 2011-11-30 |
| 1477863793 | Lyerka Balenovic Drezga | Psychiatry & Neurology | 341 Furance Dock Rd, Unit 54, Cortlandt Manor, NY 10567 | 2010-10-20 |
| 1548599624 | Gloria Helen Jackman | Acupuncturist | 3 Sonoma Road, Cortlandt Acupuncture and Herbology, Cortlandt Manor, NY 10567 | 2009-12-18 |
| 1679807234 | Oliver Ogbonna | Social Worker | 8 Benjamin Lane, Cordtland Manor, NY 10567 | 2009-09-29 |
| 1801066030 | East Hudson Urology Group PC | Urology | 644 Stoneleigh Avenue, Suite 301, Carmel, NY 10567 | 2008-03-04 |
| 1588843445 | Janice M Parks Whitman | Social Worker | 1940 Commerence Street, Carmel Pych Assoc, Yorktown Heights, NY 10567 | 2007-10-29 |
| Find all providers in zip 10567 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609178540 | Joseph Christopher Mcclain | Nurse Practitioner | 7 Croton Ave, Cortlandt Manor, NY 10567-5203 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | CORTLANDT MANOR |
| Zip Code | 10567 |
Please comment or provide details below to improve the information on MS. KIM KROEGER-BUSHELL.
| 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.