Callie Lucinda Bushart, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2024000700 Issued in MO

Practice address

3950 Newman Rd
Joplin, MO 64801-1512

Phone

(903) 944-9555

NPI assigned

Feb 3, 2021

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

Other names 1

• Callie Lucinda Tosh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1104418946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 NEWMAN RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011512",
            "telephone_number": "903-944-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 NEWMAN RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648011512",
            "telephone_number": "903-944-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHART",
        "first_name": "CALLIE",
        "middle_name": "LUCINDA",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2024000700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "TOSH",
            "middle_name": "LUCINDA",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnna Burton, BCBA
• Roeh Matthew Burton
• Sandra Mechel Burton, PHARM D
• Theresa Kay Burwick, MAADC II
• Caitlin Busch, APRN
• Trey M Butler, M.D.
• Elena Button
• David R. Buvat, MD
• Natasha Byrd
• Jessica L Byrne

• Athletic Trainer in Joplin, MO
• Providers in Joplin, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.