MINDY KAY BUSH


Address: 3999 Dutchmans Ln Ste A, Louisville, KY 40207-4744
Phone: 5023652655

MINDY KAY BUSH (NPI# 1710119565) 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) 1710119565
Entity Type Individual
Full Name MINDY KAY BUSH
Credential APRN
Practice Address 3999 Dutchmans Ln Ste A
Louisville
KY 40207-4744
Mailing Address 727 Mount Tabor Rd Ste A
New Albany
IN 47150-6951
Practice Telephone 5023652655
Practice Fax Number 5023652770
Mailing Telephone 8129813111
Mailing Fax Number 8129813829
Enumeration Date 2009-08-12
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
28160661A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
3006234 KY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6400 Dutchmans Pkwy, Suite 250, Louisville, KY 402053340 5025879660 5025405615
727 Mount Tabor Rd Ste A, New Albany, IN 471506951 8129813111 8129813829

Office Location

Street Address 3999 DUTCHMANS LN STE A
City LOUISVILLE
State KY
Zip Code 40207-4744

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1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1750914040 The Ortho Np, LLC Nurse Practitioner 1904 Meadowgate Ln, Louisville, KY 40223-1122 2020-02-15
1164990396 Tiffany Elizabeth Gallucci Nurse Practitioner 4915 Norton Healthcare Boulevard, Louisville, KS 40241 2018-11-06
1699282988 Victoria Michelle Jones Nurse Practitioner 7004 Austinwood Rd, Louisville, KY 40214-5930 2018-01-08
1295100345 Ashley Elizabeth Summers Nurse Practitioner 701 Executive Park, Louisville, KY 40207 2015-12-01
1740608082 Margaret Hamilton Nurse Practitioner 4938 Brownsboro Rd Ste 206, Louisville, KY 40222-6385 2014-04-03
1033535828 Genesis Eldercare Physician Services LLC Nurse Practitioner 16605 Chestnut Glen Pl, Louisville, KY 40245 2014-03-17
1356778237 Rachel Keith-weiss Nurse Practitioner 580 S Preston St, Baxter II Rm 204d, Louisville, KY 40202-1756 2013-10-09
1598010852 Hollis Veronica Edwards Nurse Practitioner 550 S Jackson St Fl 1, Louisville, KY 40202 2012-07-23
1578865267 Sarah Kressy Nurse Practitioner 90 Health Park Dr Ste 320, Louisville, CO 80027-9742 2010-12-01
1780909259 Deborah Diane Knight-williams Nurse Practitioner 405 Cambridge Station Rd, Wmlnc, Louisville, KY 40223-3362 2010-03-28
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Competitor

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City LOUISVILLE
Zip Code 40207

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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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