Individual provider Active NPI

April J. Bussoletti, NP

  • Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1134195092
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115674 Issued in GA
Practice address
1250 Jesse Jewell Pkwy SE
Suite 200
Gainesville, GA 30501-3871
Phone
(770) 297-7277
Fax
(770) 533-7641
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 115674 GA Primary

Addresses

Primary practice location

1250 Jesse Jewell Pkwy SE
Suite 200
Gainesville, GA 30501-3871

Mailing address

1250 Jesse Jewell Pkwy SE
Suite 200
Gainesville, GA 30501-3871
Phone (770) 297-7277

Other identifiers 1

IdentifierTypeStateIssuer
105673800AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
115674GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Spine and Pain PC CurrentSince Mar 1, 2013 Accepting new patients
Specialty Spine and Pain PC CurrentSince Mar 1, 2013 Accepting new patients

Locations

5005 Lanier Islands Pkwy
Ste 100
Buford, GA 30518

1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-6341

1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501
Phone (770) 532-7202

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1134195092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-297-7277",
            "fax_number": "770-533-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-297-7277",
            "fax_number": "770-533-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSOLETTI",
        "first_name": "APRIL",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "115674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105673800A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.