MICHELLE BUSH (NPI# 1336545003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336545003 |
| Entity Type | Individual |
| Full Name | MICHELLE BUSH |
| Credential | LAC |
| Practice Address |
6221 Richards Dr Shawnee KS 66216-1724 |
| Mailing Address |
Po Box 711 Newton KS 67114-0711 |
| Practice Telephone | 9132481943 |
| Practice Fax Number | 9132481994 |
| Mailing Telephone | 3162836743 |
| Mailing Fax Number | 3162836830 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
267 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100106710 I | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154599 | Michelle Bush | Registered Nurse | 1821 Chicoma Rd Ne, Rio Rancho, NM 87144-2500 | 2014-04-15 |
| 1326224106 | Michelle L Bush | Nurse Practitioner | 601 N 99th St, Suite 107, Wauwatosa, WI 53226-4339 | 2008-01-11 |
| 1154450484 | Michelle Denise Bush | Nurse Practitioner | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2007-03-04 |
| 1679503270 | Michelle L Bush | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5161 | 2006-07-03 |
| Street Address |
6221 RICHARDS DR |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216-1724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164836581 | Sue Jacobson | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-13 |
| 1336631159 | Ronnie Tyson Mcquay | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2018-06-06 |
| 1790164549 | George Crossland | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2015-05-27 |
| 1255745212 | Melissa Maher | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-18 |
| 1396159257 | Jason Donlon | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-18 |
| 1477967420 | Peter Gasser | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-18 |
| 1306250360 | Cindy Simpson | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-18 |
| 1871907923 | Theodore Gilbert | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-17 |
| 1124432364 | Douglas Johnson | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257305 | Kelsey Reye Hamel | Counselor | 12510 W 62nd Ter Ste 109, Shawnee, KS 66216-1869 | 2018-06-06 |
| 1992170013 | Jennifer M Babitzke | Counselor | 12424 W 62nd Ter, Suite A, Shawnee, KS 66216-1810 | 2015-12-01 |
| 1891168050 | Jason Oconnor | Counselor | 9 Quail Rdg, Shawnee, OK 74804-3228 | 2015-11-09 |
| 1164836581 | Sue Jacobson | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-06-13 |
| 1306262944 | Jane Marie Vogel | Counselor | 5302 Lucille Ln, Shawnee, KS 66203-1455 | 2014-03-06 |
| 1144506684 | Sylvia 'sherry' Charisse Smith | Counselor | 499 Hardesty Dr, Shawnee, OK 74804-1134 | 2011-10-28 |
| 1285832915 | Abigail Maree Cabaniss | Counselor | 1262 Augusta Ct, Shawnee, OK 74801-0500 | 2007-07-03 |
| 1679779987 | David G Lawson | Counselor | 6342 Long Ave, Suite A, Shawnee, KS 66216-2513 | 2007-06-23 |
| 1346366788 | Kellie Dunn | Counselor | 23 E 9th St, Suite 423, Shawnee, OK 74801-6943 | 2007-03-21 |
| 1548399769 | Kevin Jett | Counselor | 26 Father Joe Murphy Dr, Shawnee, OK 74801-8663 | 2007-03-05 |
| Find all providers in SHAWNEE | ||||
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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.