MRS. AURORA BUSTILLOS (NPI# 1891080404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891080404 |
| Entity Type | Individual |
| Full Name | MRS. AURORA BUSTILLOS |
| Credential | RNC-MNN, IBCLC |
| Practice Address |
1201 S Main St Fort Worth TX 76104-4804 |
| Mailing Address |
1500 S Main St Fort Worth TX 76104-4917 |
| Practice Telephone | 8177027524 |
| Practice Fax Number | 8179206596 |
| Mailing Telephone | 8177027524 |
| Mailing Fax Number | 8179206596 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
578013 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NCC | BUS1-0429-7211 | 01 |
| TX | BOARD OF NURSE EXAMINERS | 578013 | 01 |
| TX | IBLCE | 10920319 | 01 |
| Street Address |
1201 S MAIN ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591611 | Audra Wellington | Lactation Consultant, Non-RN | 1201 S Main St, Fort Worth, TX 76104-4804 | 2014-05-27 |
| 1588076483 | Ann Palagi-pate | Nurse Practitioner | 1201 S Main St, Fort Worth, TX 76104-4804 | 2014-05-27 |
| 1962822791 | Brett Robert Westbrook | Obstetrics & Gynecology | 1201 S Main St, Fort Worth, TX 76104-4804 | 2014-04-19 |
| 1164784450 | Gennady G Miroshnichenko | Obstetrics & Gynecology | 1201 S Main St, Fort Worth, TX 76104-4804 | 2012-06-12 |
| 1184917841 | Emily Elizabeth Hadley | Obstetrics & Gynecology | 1201 S Main St, Fort Worth, TX 76104 | 2011-05-27 |
| 1649336074 | Rachel C Hyde | Advanced Practice Midwife | 1201 S Main St, Fort Worth, TX 76104-4804 | 2006-12-29 |
| 1356329205 | Elizabeth Golladay Spooner | Obstetrics & Gynecology | 1201 S Main St, Fort Worth, TX 76104-4804 | 2006-01-02 |
| 1952386104 | Stephanie Renee Carson Henderson | Obstetrics & Gynecology | 1201 S Main St, Fort Worth, TX 76104-4804 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264416 | Michele Gaudette | Registered Nurse | 4024 Penny Royal Dr, Fort Worth, TX 76244-6636 | 2020-01-15 |
| 1780221069 | Latch Ladies, LLC | Registered Nurse | 6416 Lansdale Rd, Fort Worth, TX 76116-1624 | 2019-12-05 |
| 1326492711 | Jessica L Rutledge | Registered Nurse | 2413 Via Palermo, Apartment 1611, Fort Worth, TX 76109-6548 | 2016-04-21 |
| 1467887380 | Laura M Kiehl | Registered Nurse | 5226 Wyndrook St, Fort Worth, TX 76244-5043 | 2013-09-10 |
| 1417488255 | Jennifer Gerard | Registered Nurse | 10840 Texas Health Trl, Suite 250, Fort Worth, TX 76244-6846 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769609 | Debra Doris Iarussi | Registered Nurse | 16511 Curio Gray Trl, Cypress, TX 77433-6232 | 2020-10-28 |
| 1659984508 | Kathy Gabel | Registered Nurse | 18803 N Blanco Bend Dr, Cypress, TX 77433-3116 | 2020-08-28 |
| 1629689161 | Alice Maria Stegmann | Registered Nurse | 13355 N Us Highway 183 Apt 1611, Austin, TX 78750-7144 | 2020-08-10 |
| 1073123428 | Alexandra Fores | Registered Nurse | 1621 Lakeville Dr Ste 304, Kingwood, TX 77339-2694 | 2020-07-31 |
| 1417571266 | Samantha Kay Smith | Registered Nurse | 7510 Angelwing Dr, Corpus Christi, TX 78414-6081 | 2020-06-07 |
| 1649894247 | Mary Kay Rybiski | Registered Nurse | 360 Waterloo Dr, Kyle, TX 78640-6554 | 2020-05-31 |
| 1245866110 | Alyssa Queen | Registered Nurse | 10309 Flatland Trl, Converse, TX 78109-1665 | 2020-03-23 |
| 1871127514 | Tiffani Dickerson | Registered Nurse | 701 Deer Creek Dr, Desoto, TX 75115-3650 | 2020-03-02 |
| 1720619281 | Halie Overton | Registered Nurse | 3405 Harvard Ave, Dallas, TX 75205-3242 | 2020-02-03 |
| 1689222713 | Stephanie Goerdel | Registered Nurse | 1328 Fm 2984, Luling, TX 78648-4445 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on MRS. AURORA BUSTILLOS.
| 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.