Active NPI
Karley Bush
- Speech-Language Assistant
- Laurel, MD
National Provider Identifier
1013580661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 00083L
- Practice address
- 14409 Greenview Dr Ste 102
Laurel, MD 20708-4213 - Phone
- (301) 498-8100
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 00083L | MD | Primary |
Addresses
Primary practice location
14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Mailing address
PO Box 500
Brookeville, MD 20833-0500
Phone (301) 498-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00083L | Other | MD | STATE DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00083L | MD | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Services, Inc. | Past | Accepting new patients | |
| Associated Professional Rehabilitation Services, Inc. | Speech-Language Assistant | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Laurel, MD
- NPI 1275639155
Speech-Language Assistant
-
- Physical Therapist
- Laurel, MD
- NPI 1386744035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1013580661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208330500",
"telephone_number": "301-498-8100",
"fax_number": "301-498-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14409 GREENVIEW DR STE 102",
"city": "LAUREL",
"state": "MD",
"postal_code": "207084213",
"telephone_number": "301-498-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "KARLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "MD",
"license": "00083L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DEPARTMENT OF HEALTH",
"identifier": "00083L",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.