DR. JACQUELINE ANNE BUSH (NPI# 1720226822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720226822 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE ANNE BUSH |
| Credential | PH.D. |
| Practice Address |
300 S Twinning St #760 42nd Medical Group Maxwell Afb AL 36112 |
| Practice Telephone | 3349539913 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1801 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354872 | Jacqueline Bush | Technician | 720 N Lewis St, Glenville, WV 26351-1319 | 2020-10-18 |
| 1700274719 | Jacqueline Bush | Case Manager/Care Coordinator | 221 N Wewoka Ave, Wewoka, OK 74884-2221 | 2014-12-27 |
| 1093734766 | Jacqueline Ann Bush | Social Worker | 2094 Albany Post Rd, Va Hudson Valley Healthcare System, Montrose, NY 10548-1454 | 2006-07-19 |
| 1174596241 | Jacqueline Bush | Obstetrics & Gynecology | 506 6th St, Brooklyn, NY 11215 | 2006-02-09 |
| Street Address |
300 S TWINNING ST #760 42ND MEDICAL GROUP |
| City | MAXWELL AFB |
| State | AL |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| Find all providers in zip 36112 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275788754 | Kristin Renee Tubre | Psychologist | 300 Twining St Bldg 760, Maxwell Afb, AL 36112-6027 | 2008-11-25 |
| 1134104367 | Kathleen A Crimmins | Psychologist | 300 Twining St Bldg 760, Maxwell Afb, AL 36112 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050300 | Abby Pullen Clark | Psychologist | 801 Noble St Ste 400, Anniston, AL 36201-5698 | 2019-12-17 |
| 1720624380 | Cynthia Ann Neville | Psychologist | 203 17th St N, Bessemer, AL 35020-5726 | 2019-11-19 |
| 1457992588 | Teashia Adkins Goodwin | Psychologist | 500 Southland Dr Ste 155-f, Vestavia, AL 35226-3711 | 2019-09-30 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1952864225 | Parris Psychology | Psychologist | 1971 Appalachian Hwy, Hokes Bluff, AL 35903-4747 | 2019-04-12 |
| 1245791789 | Lori Lea Holth | Psychologist | 5820 Morris Ave, Gadsden, AL 35903-4831 | 2019-03-27 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1487139119 | Natalie Harrison | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2018-09-28 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1508391467 | Eric Todd Bloch | Psychologist | 2061 County Road 430, Smiths Station, AL 36877 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
| City | MAXWELL AFB |
| Zip Code | 36112 |
Please comment or provide details below to improve the information on DR. JACQUELINE ANNE BUSH.
| 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.