TAMMY BUSH (NPI# 1639512825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639512825 |
| Entity Type | Individual |
| Full Name | TAMMY BUSH |
| Credential | LPN |
| Practice Address |
24219 Chammbry Fountain FL 32438 |
| Mailing Address |
24219 Chammbry Fountain FL 32438-5916 |
| Practice Telephone | 8504622630 |
| Mailing Telephone | 8504622630 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | PN5170179 | FL | Nursing Service Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2975 Park St, Marianna, FL 324463115 | 8504821008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841745726 | Tammy Bush | Speech-Language Pathologist | 142 Franklin St, Santa Cruz, CA 95060-2858 | 2016-08-19 |
| 1306076328 | Tammy Bush | Physical Therapist | 800 Meadowlark Ln, Newton, KS 67114 | 2009-07-24 |
| 1861998445 | Tammy J Bush | Counselor | 507 Mulberry Heights Rd, Pomeroy, OH 45769-9573 | 2018-04-03 |
| 1104256718 | Tammy Bush | Licensed Practical Nurse | 8 Park Ave, Oakfield, NY 14125-1026 | 2013-11-18 |
| Street Address |
24219 CHAMMBRY |
| City | FOUNTAIN |
| State | FL |
| Zip Code | 32438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710162466 | Natalie and Erik Tiltins | Intermediate Care Facility, Mental Illness | 17919 Hwy. 231, Fountain, FL 32438 | 2007-12-31 |
| 1417137225 | Natalie and Erik Tiltins | Intermediate Care Facility, Mental Illness | 17919 Highway 231, Fountain, FL 32438-0500 | 2007-11-08 |
| 1114030194 | The H.o.p.e. Program | Psychiatric Residential Treatment Facility | 11712 Vandoren Ln, Fountain, FL 32438-5262 | 2006-08-16 |
| 1235461773 | H.o.p.e. | Substance Abuse Rehabilitation Facility | 11712 Vandoren Ln, Fountain, FL 32438-5262 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093049 | Katelyn E Clark | Counselor | 7431 Fortman Ave, Fountain, CO 80817-1403 | 2020-11-04 |
| 1306443098 | Darla R Mccarty | Nutritionist | 7718 Bentwater Dr, Fountain, CO 80817-4312 | 2020-10-06 |
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1679187363 | Kristin Florez | Counselor | 9790 Rolling G Rd, Fountain, CO 80817-3396 | 2020-09-01 |
| 1174149009 | Rhiannon M Leatherwood | Massage Therapist | 715 Dale St, Fountain, CO 80817-1736 | 2020-06-16 |
| 1417572165 | Jessica Renee Garcia | Behavior Technician | 7719 Del Ray Bay St, Fountain, CO 80817-1795 | 2020-06-09 |
| 1235766833 | Simply Superior Health | Registered Nurse | 744 Rye Ridge Rd, Fountain, CO 80817-3196 | 2020-03-24 |
| 1245864776 | Laura Barney, LLC | Community/Behavioral Health | 108 W Ohio Ave # B, Fountain, CO 80817-2240 | 2020-02-24 |
| 1780217695 | Nadine Leonard | Social Worker | 410 Crest St, Fountain, CO 80817-2011 | 2020-02-19 |
| Find all providers in FOUNTAIN | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232967 | Amanda Darnell O'berry | Technician | 6531 Berryhill Rd, Milton, FL 32570-6822 | 2020-10-14 |
| 1598363590 | Bergeline Lexis | Technician | 8836 Viking Ln, Lakeland, FL 33809-1751 | 2020-10-12 |
| 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.