Individual provider Active NPI

Lucinda Busch, CPLP

  • Prosthetist
  • Richmond, IN
National Provider Identifier
1104500578
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
204 Issued in OH
Practice address
2011 Chester Blvd
Richmond, IN 47374-1214
Phone
(765) 756-5014
Fax
(765) 488-1165
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 204 OH Primary

Addresses

Primary practice location

2011 Chester Blvd
Richmond, IN 47374-1214

Mailing address

2011 Chester Blvd
Richmond, IN 47374-1214
Phone (765) 756-5014

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204OHMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
3D Prosthetics, LLC Prosthetist CurrentSince Jun 18, 2023 Accepting new patients
Dayton Artificial Limb Clinic, Inc. Prosthetist Current Accepting new patients
Skinsations Dermatherapy, LLC PastSince Jun 18, 2023 Accepting new patients

Locations

2011 Chester Blvd
Richmond, IN 47374
Phone (765) 488-1778

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1104500578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741214",
            "telephone_number": "765-756-5014",
            "fax_number": "765-488-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741214",
            "telephone_number": "765-756-5014",
            "fax_number": "765-488-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "LUCINDA",
        "credential": "CPLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.