MRS. TERESA YVONNE BUSH (NPI# 1194356063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194356063 |
| Entity Type | Individual |
| Full Name | MRS. TERESA YVONNE BUSH |
| Other Name | MRS. TERESA YVONNE OWENS, SMITH |
| Credential | LPN |
| Practice Address |
2400 West Main St Jacksonville AR 72076 |
| Mailing Address |
2400 W. Main St. Pathfinder Preschool Jacksonville AR 72076 |
| Practice Telephone | 5019820528 |
| Practice Fax Number | 5019821091 |
| Mailing Telephone | 5019820528 |
| Mailing Fax Number | 5019821468 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L013112 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021830 | Teresa Dohr Bush | Speech-Language Pathologist | 2424 Northgate Dr Ste 100, Salisbury, MD 21801-7888 | 2018-11-05 |
| 1255682563 | Teresa Lynn Bush | Registered Nurse | 127 E State St, Gloversville, NY 12078-1204 | 2012-09-26 |
| Street Address |
2400 WEST MAIN ST |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443207 | Cheryl Elaine Dowdell | Licensed Practical Nurse | 1685 Biscayne Bay Cir, Jacksonville, FL 32218-8671 | 2020-09-24 |
| 1255959474 | Tracey Fitzgerald | Licensed Practical Nurse | 50 N Laura St Ste 2560, Jacksonville, FL 32202-3664 | 2020-07-14 |
| 1295350015 | Derekia Johnson | Licensed Practical Nurse | 8278 Golden Bamboo Dr, Jacksonville, FL 32219-6012 | 2020-06-08 |
| 1265052930 | Cristal Lashonda Daniels | Licensed Practical Nurse | 873 Plumbridge Ct, Jacksonville, FL 32218-6138 | 2020-04-22 |
| 1750917001 | Stacy Patreace Godwin | Licensed Practical Nurse | 7082 Saint Ives Ct, Jacksonville, FL 32244-0300 | 2020-03-19 |
| 1063045433 | Brenda Cherry | Licensed Practical Nurse | 12281 Drift Ct, Jacksonville, FL 32218-0841 | 2020-02-13 |
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1619507936 | Cherika Philo | Licensed Practical Nurse | 4320 Sunbeam Rd Apt 219, Jacksonville, FL 32257-8828 | 2020-01-26 |
| 1467013805 | April Yolande Pollard | Licensed Practical Nurse | 1861 Boston Commons Way, Jacksonville, FL 32221-2131 | 2019-06-26 |
| 1184285652 | Cierra Elizabeth Carter | Licensed Practical Nurse | 906 W Monroe St Apt 401, Jacksonville, FL 32204-1184 | 2019-06-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on MRS. TERESA YVONNE 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.