Individual provider Active NPI

Jane Katherine Busch, LISW, IAADC

  • Clinical Social Worker
  • Oskaloosa, IA
National Provider Identifier
1053551754
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03905 Issued in IA
Practice address
108 1St Ave E
Oskaloosa, IA 52577-3127
Phone
(641) 676-3720
NPI assigned
Feb 20, 2009
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 03905 IA Primary

Addresses

Primary practice location

108 1St Ave E
Oskaloosa, IA 52577-3127

Mailing address

108 1St Ave E
Oskaloosa, IA 52577-3127
Phone (641) 676-3720

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jane@gatewaysconsulting.org

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
03905IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1053551754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 1ST AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773127",
            "telephone_number": "641-676-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 1ST AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773127",
            "telephone_number": "641-676-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "JANE",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LISW, IAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "03905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jane@gatewaysconsulting.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "108 1st Ave E",
            "city": "Oskaloosa",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525773127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.