AMANDA BUSH (NPI# 1952721664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952721664 |
| Entity Type | Individual |
| Full Name | AMANDA BUSH |
| Practice Address |
3500 North St Suite #1-a Nacogdoches TX 75965-2472 |
| Mailing Address |
Po Box 1035 Center TX 75935-1035 |
| Practice Telephone | 9365698585 |
| Practice Fax Number | 9365698525 |
| Mailing Telephone | 9365904464 |
| Mailing Fax Number | 9365904468 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1001013 | TX | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809047 | Amanda Marie Bush | Physician Assistant | 7203 Vesta Rd, Charlestown, IN 47111-9302 | 2020-04-07 |
| 1902075229 | Amanda Kaye Bush | Physical Therapy Assistant | 920 Cairo Rd, Thomasville, GA 31792-4255 | 2008-02-21 |
| 1992158612 | Amanda Bush | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-07-18 |
| 1588081954 | Amanda Rae Bush | Nurse Anesthetist, Certified Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2014-03-24 |
| 1093950941 | Amanda Jo Bush | Obstetrics & Gynecology | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2008-12-06 |
| 1588787428 | Amanda Bush | Social Worker | 77 Mill St, Suite251, Westfield, MA 01085-4598 | 2007-04-07 |
| Street Address |
3500 NORTH ST SUITE #1-A |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174824361 | Bethany Hh of Nacogdoches | Home Health | 3500 North St, Suite 1b, Nacogdoches, TX 75965-2472 | 2010-11-04 |
| 1114339975 | Vip Hospice, LLC | Hospice Care, Community Based | 3500 North St, Suite 1b, Nacogdoches, TX 75965-2472 | 2014-05-28 |
| 1578983292 | Gaddy Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 3500 North St, Suite #1-a, Nacogdoches, TX 75965-2472 | 2014-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1447776331 | Gaddy Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 3500 North St Ste 1a, Nacogdoches, TX 75965-2485 | 2017-08-22 |
| 1366983017 | Usad | Durable Medical Equipment & Medical Supplies | 4721 North St, Nacogdoches, TX 75965-1874 | 2017-03-14 |
| 1326348038 | D-star | Durable Medical Equipment & Medical Supplies | 4665 Fm 226, Nacogdoches, TX 75961-7123 | 2010-10-27 |
| 1114114840 | Debeia Duffield-holmes | Durable Medical Equipment & Medical Supplies | 6429 S Fm 225, Nacogdoches, TX 75964-1396 | 2007-09-26 |
| 1114081619 | Lifecare Home Nursing, LLC | Durable Medical Equipment & Medical Supplies | 2618 North St, Nacogdoches, TX 75965-3501 | 2006-12-20 |
| 1184798233 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 900 N Mound St, Nacogdoches, TX 75961-4404 | 2006-11-20 |
| 1447323977 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 1215 North St, Nacogdoches, TX 75961-4034 | 2006-11-15 |
| 1619982709 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3004 North St, Nacogdoches, TX 75965-2858 | 2006-07-29 |
| 1225064736 | Nmc Surgery Center, L.p. | Durable Medical Equipment & Medical Supplies | 4948 Ne Stallings Dr, Nacogdoches, TX 75965-1265 | 2006-06-25 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on AMANDA 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.