Emily Bussick, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22007520A Issued in IN

Practice address

5250 Heritage Pkwy
Fort Wayne, IN 46835-1061

Phone

(260) 209-6279

NPI assigned

Sep 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1093320384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 CHARIOT CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468452112",
            "telephone_number": "260-438-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 HERITAGE PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468351061",
            "telephone_number": "260-209-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSICK",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007520A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Elizabeth Buskirk, PHD
• Barbara Ann Buss, CNP
• Michela Angela Buss, MS, BCBA
• Ryan D Buss, MD
• Shilpa Subhash Buss, D.D.S
• Timothy Jay Bussick, D.D.S; M.S.
• Blandine B Bustamante, M.D.
• Amanda Nicole Butcher, MA, BCBA
• Joshua Charles Butcher, PT
• Kimberly J Butcher, MS

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.