Active NPI
Deborah Bush, FNP
- Family Nurse Practitioner
- Dunkirk, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339054
- Practice address
- 504 Central Ave
Dunkirk, NY 14048-2515 - Phone
- (716) 366-9008
- Fax
- (716) 366-3158
- NPI assigned
- May 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 339054 | NY | Primary |
| General Practice Registered Nurse | 163WG0000X | 18672 | TN |
Addresses
Primary practice location
504 Central Ave
Dunkirk, NY 14048-2515
Mailing address
504 Central Ave
Dunkirk, NY 14048-2515
Phone (716) 366-9008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140905000499 | NY | Practitioner - Nurse Practitioner | 2365660263 | Reassigns benefits to 2 organizations |
| I20220210000668 | TN | Practitioner - Nurse Practitioner | 2365660263 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339054 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Revitalist | Current | Accepting new patients | |
| Trinity Medical Wny PC | Current | Accepting new patients | |
| Kaleida Health | Past | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
2 Red Bush Ct
Johnson City, TN 37601
Phone (423) 283-4958
10608 Flickenger Ln
Knoxville, TN 37922
Phone (833) 917-3400
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NY
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1033520580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482515",
"telephone_number": "716-366-9008",
"fax_number": "716-366-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 CENTRAL AVE",
"city": "DUNKIRK",
"state": "NY",
"postal_code": "140482515",
"telephone_number": "716-366-9008",
"fax_number": "716-366-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "DEBORAH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-17",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339054",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TN",
"license": "18672",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunkirk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.