KRISTEN ELIZABETH BUSH


Address: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1122
Phone: 7043772424

KRISTEN ELIZABETH BUSH (NPI# 1578979936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578979936
Entity Type Individual
Full Name KRISTEN ELIZABETH BUSH
Other Name KRISTEN ELIZABETH WHITE
Credential PA-C
Practice Address 1900 Randolph Rd
Ste 900
Charlotte
NC 28207-1122
Practice Telephone 7043772424
Practice Fax Number 7043772687
Mailing Telephone 7043772424
Mailing Fax Number 7043772687
Enumeration Date 2014-07-07
Last Update Date 2015-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 25MP00339000 NJ Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-05741 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers KRISTEN BUSH

NPI Name Taxonomy Address Enumeration
1679687032 Kristen Jill Bush Nurse Practitioner 1365 Clifton Rd Ne, Atlanta, GA 30322-1013 2006-08-19

Office Location

Street Address 1900 RANDOLPH RD
STE 900
City CHARLOTTE
State NC
Zip Code 28207-1122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881689362 Barbara Elizabeth Kissam Pediatrics 1900 Randolph Rd, Suite 1010, Charlotte, NC 28207-1122 2005-09-12
1144769332 Courtney Wiseman Physician Assistant 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2017-02-21
1700339785 Yu Wei Shan Nurse Practitioner 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2016-07-26
1891182127 Novant Medical Group,inc Pediatrics 1900 Randolph Rd, Suite 300, Charlotte, NC 28207-1122 2015-04-24
1003235524 Novant Medical Group Inc Internal Medicine 1900 Randolph Rd, Suite 216, Charlotte, NC 28207-1122 2014-04-11
1508107863 Novant Medical Group Inc Internal Medicine 1900 Randolph Rd, Suite 300, Charlotte, NC 28207-1106 2013-03-12
1639422264 Anthony James Mignanelli II Nurse Practitioner 1900 Randolph Rd, Suite 900, Charlotte, NC 28207-1122 2012-10-19
1851642169 Meagan Marie Bullock Social Worker 1900 Randolph Rd, Suite 800, Charlotte, NC 28207-1122 2012-09-26
1114299294 Worley Shaun Lynch Physician Assistant 1900 Randolph Rd, Suite 900, Charlotte, NC 28207-1122 2012-02-03
1124335427 Ppg Pathology and Diagnostics Pllc Clinical Medical Laboratory 1900 Randolph Rd, Suite 708, Charlotte, NC 28207-1122 2010-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982213765 Michaela Lynne Mcbride Physician Assistant 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 2020-07-28
1982212072 Alexandria Bower-nelson Physician Assistant 1302 Porter Drive, Charlotte, MI 48813 2020-07-15
1417506791 Lauren Moir Physician Assistant 2700 Coltsgate Rd Ste 106, Charlotte, NC 28211-3573 2019-09-09
1609306778 Mackenzie Cashman Precht Physician Assistant 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 2017-06-12
1285172981 Melanie Reyer Physician Assistant 5005 Morrowick Rd, Charlotte, NC 28226-7366 2017-02-02
1255877627 Taylor King Physician Assistant 730 Hawthorne Ln Apt 443, Charlotte, NC 28204-2182 2017-01-10
1831579242 Lindsey Chaney Taylor Physician Assistant 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1122 2015-06-02
1306232079 Rebecca Lee Strunk-lail Physician Assistant 1211 N. Community House Rd, Charlotte, NC 28277 2015-04-09
1194117432 Harlee Palmer Physician Assistant 10502 Park Rd Suite 100, Charlotte, NC 28210-8479 2015-02-24
1154669364 Laura A Justen Physician Assistant 1025 Morehead Medical Dr Ste 225, Charlotte, NC 28204-2974 2013-01-23
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Competitor

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City CHARLOTTE
Zip Code 28207

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Dataset Information

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.

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