CAROLYN BUSHMAN


Address: 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287
Phone: 7027503800

CAROLYN BUSHMAN (NPI# 1417912841) 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) 1417912841
Entity Type Individual
Full Name CAROLYN BUSHMAN
Credential APN
Practice Address 7061 Grand Montecito Pkwy
Las Vegas
NV 89149-0287
Mailing Address Po Box 35380
Las Vegas
NV 89133-5380
Practice Telephone 7027503800
Mailing Telephone 7027503800
Enumeration Date 2006-04-19
Last Update Date 2017-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
APN000881 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 100509013 05

Office Location

Street Address 7061 GRAND MONTECITO PKWY
City LAS VEGAS
State NV
Zip Code 89149-0287

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518969187 Robert Simeon Musni Family Medicine 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2005-08-12
1972115772 Charina Mae C Picornell Nurse Practitioner 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2020-08-21
1811539679 James Kim Physician Assistant 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2019-10-14
1376041145 Rebecca V Lockwood Physician Assistant 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2018-01-26
1316498520 Trisha Sibayan Tan-torres Nurse Practitioner 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2016-10-24
1174072250 Armando Sarmiento Nurse Practitioner 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2016-09-29
1598111304 Sarah Nicole Javier Obstetrics & Gynecology 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2016-05-11
1851785687 Gregory Desimone Family Medicine 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2015-03-18
1134536436 Antoinette Orton Nurse Practitioner 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2014-07-18
1053725069 Hannah Taft Family Medicine 7061 Grand Montecito Pkwy, Las Vegas, NV 89149-0287 2014-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1285292052 Dianne Pana Physical Therapist 351 N Fort Apache Rd, Las Vegas, NV 89149 2019-06-05
1477118198 Cece Group Home, LLC Community Based Residential Treatment Facility, Mental Illness 5417 Ireland St, Las Vegas, NV 89149 2019-05-08
1790242543 Carl Anthony Llanos Plaza Nurse Practitioner 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 2019-02-28
1932664158 Lychee Holdings, LLC Skilled Nursing Facility 8565 W Rome Blvd, Las Vegas, NV 89149 2019-02-01
1366976276 Pam Squared At Las Vegas, LLC Rehabilitation Hospital 6166 North Durango Drive, Las Vegas, NV 89149 2017-04-18
1083076269 Kristopher Kevin Kleinman Registered Nurse 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 2016-03-25
1326428962 Kimberly Vialpando Physical Therapist 6351 N. Forte Apache Road, Las Vegas, NV 89149 2015-06-08
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225285976 Katrina Haslett Md PC Nurse Practitioner 2940 S Jones Blvd Ste C, Las Vegas, NV 89146-5630 2008-08-25
1063694651 Fertility Center of Las Vegas LLP Nurse Practitioner 8851 W Sahara Ave Ste 100, Las Vegas, NV 89117-5890 2007-12-05
1487855011 Melanie Joyce Hazen Nurse Practitioner 601 S Rancho Dr Ste D34, Las Vegas, NV 89106-4874 2007-05-30
1457552648 Becky R Gonzales Nurse Practitioner 7997 W Sahara Ave Ste 103, Las Vegas, NV 89117 2007-05-29
1801910120 Maribel E Monroe Md Ltd Nurse Practitioner 2480 Professional Ct Ste 110, Las Vegas, NV 89128-0835 2007-03-19
1568527323 Sadona Helen Jacklin Nurse Practitioner 9120 W Post Rd, 200, Las Vegas, NV 89148-2407 2006-12-22
1366532434 Tikva Darvish Butler Nurse Practitioner 2860 E. Desert Inn Road, Las Vegas, NV 89121 2006-10-13
1386600732 Marie A. Mitchell Nurse Practitioner 8480 S Eastern Ave, Las Vegas, NV 89123-2821 2006-04-25
1730645714 Affinity Womens Care Las Vegas Nurse Practitioner 7997 W Sahara Ave Ste 103, Las Vegas, NV 89117-7901 2019-02-14
1093279440 Sabrina Eisinga Nurse Practitioner 3196 S Maryland Pkwy Ste 209, Las Vegas, NV 89109-2313 2019-01-29
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Competitor

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City LAS VEGAS
Zip Code 89149

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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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