Amber Lanae Busby, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-129220 Issued in AL

Practice address

1700 Highway 78 E
Jasper, AL 35501-4036

Phone

(205) 512-1058

NPI assigned

Jan 3, 2020

Last updated

Feb 12, 2021By the provider in NPPES

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

Other names 1

• Amber Lanae Blackwell Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

After Hours Clinic IncGroup PAC ID 4880635945, 8 clinicians

After Hours Clinic Inc SumitonGroup PAC ID 3375624182, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• After Hours Clinic Inc

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1215958103
  Medicare reassignment Care Compare group NPD
• After Hours Clinic Inc Sumiton

  • Family Medicine Physician
  • Sumiton, AL
  • NPI 1932304292
  Medicare reassignment Care Compare group NPD
• Farouk a. Raquib, M.D., P.C.

  • Family Medicine Physician
  • Winfield, AL
  • NPI 1760531479
  Medicare reassignment NPD

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1093354458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 TOMMY ROBINSON RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355046644",
            "telephone_number": "205-275-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 78 E",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014036",
            "telephone_number": "205-512-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "AMBER",
        "middle_name": "LANAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-129220",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BLACKWELL",
            "middle_name": "LANAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan F. Brunner, M.D.
• Von Fredrick Burchfield
• Haley Nanaline Burgess, DMD
• Mary Ellen Burks, LCSW
• Jeffrey McClain Burrough, PHARM. D.
• Jessica Rae Busby
• Kelly Butler, PHARMD
• Laura Butler, RDH
• Paul David Byrd, LPC
• C.R. of Shadescrest, LLC (Shadescrest Health and Rehab)

• Family Nurse Practitioner in Jasper, AL
• Providers in Jasper, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.