Stephanie Lynn Bush, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8779 Issued in WI

Practice address

160 Gateway Dr
Waupun, WI 53963

Phone

(920) 324-9899

Fax

(920) 324-9899

NPI assigned

Oct 18, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1023584992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GATEWAY DR",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539632276",
            "telephone_number": "920-324-9899",
            "fax_number": "920-324-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GATEWAY DR",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "53963",
            "telephone_number": "920-324-9899",
            "fax_number": "920-324-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19265 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530452740",
            "country_code": "US",
            "telephone_number": "262-599-6401",
            "fax_number": "314-787-2141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Waupun",
            "state": "WI",
            "postal_code": "53963",
            "country_code": "US",
            "telephone_number": "920-324-9899",
            "fax_number": "920-324-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8779-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven John Bresser
• Marsha Lynn Brightman, FNP-C, APNP, RN, MSN
• Brooks Ambulance Inc
• Kenneth R. Burg, M.D.
• Linda K Burmania, PTA
• Kristy Love Buteyn, PHARMD
• Kathleen Mae Buwalda, L.P.N.
• Bert C Callahan, MD
• Todd Richard Callister, MD
• Jeffrey J Campbell, LCSW

• Family Nurse Practitioner in Waupun, WI
• Providers in Waupun, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.