HOPE VICTORIA BUSSENIUS (NPI# 1124216296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124216296 |
Entity Type | Individual |
Full Name | HOPE VICTORIA BUSSENIUS |
Credential | R.N, M.N, F.N.P-C |
Practice Address |
657 Athens St Jefferson GA 30549-1474 |
Mailing Address |
718 Buck Trl Hoschton GA 30548-2189 |
Practice Telephone | 7063677302 |
Mailing Telephone | 7063677302 |
Enumeration Date | 2007-10-13 |
Last Update Date | 2007-10-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R100015 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R100015 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R100015 | GA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R100015 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 85001597G | 05 |
Street Address |
657 ATHENS ST |
City | JEFFERSON |
State | GA |
Zip Code | 30549-1474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346469558 | Health Connection Inc | Clinic/Center | 657 Athens St, Jefferson, GA 30549-1474 | 2007-04-25 |
1932405537 | Angela L Haynes | Nurse Practitioner | 657 Athens St, Jefferson, GA 30549-1474 | 2011-01-31 |
1760643761 | Health Connection Inc | Nurse Practitioner | 657 Athens St, Jefferson, GA 30549-1474 | 2008-06-23 |
1598984700 | Twilla L Haynes | Nurse Practitioner | 657 Athens St, Jefferson, GA 30549-1474 | 2007-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
Find all providers in zip 30549 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861019739 | Thomas R. Dupree Jr. | Nurse Practitioner | 321 Brooks, Jefferson, TX 75657-4443 | 2020-06-26 |
1750908620 | Tammy K Dupree | Nurse Practitioner | 321 Brooks # 321, Jefferson, TX 75657-4443 | 2020-06-26 |
1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
1942779772 | Rebekah Hawkins | Nurse Practitioner | 57 Slate Ave, Jefferson, GA 30549-8220 | 2018-11-22 |
1013431394 | Susan Eva Harrison Martinez | Nurse Practitioner | 1514 Jefferson Hwy Fl 1, Jefferson, LA 70121-2429 | 2017-07-28 |
1154843373 | Stephanie Ann Mason | Nurse Practitioner | 127 Park Dr, Jefferson, GA 30549-1269 | 2017-07-10 |
1548706443 | Christopher Touzeau | Nurse Practitioner | 4118 Camden Dr, Jefferson, MD 21755-7302 | 2017-01-16 |
1033660584 | Jenia Harris | Nurse Practitioner | 530 Brown St, Jefferson, LA 70121-2602 | 2016-10-19 |
1194111658 | Gretchen Geist | Nurse Practitioner | N4810 State Road 89, Jefferson, WI 53549-9629 | 2015-04-11 |
Find all providers in JEFFERSON |
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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.