Andrea Busbee, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104292 Issued in FL

Practice address

1510 Royal Palm Square Blvd Ste 105
Fort Myers, FL 33919-1068

Phone

(239) 245-8899

NPI assigned

Mar 17, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1134877244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ROYAL PALM SQUARE BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191068",
            "telephone_number": "239-245-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ROYAL PALM SQUARE BLVD STE 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191068",
            "telephone_number": "239-245-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBEE",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Burow, D.O.
• Martha Isabel Burst, BA/TCM
• Nina Giselle Burt, OD
• Gordon D Burtch, MD
• Michael Erick Burton, MD
• Kierra Busch, RBT
• Kenia Buschmann
• Jeffrey Bush, LMHC
• Mikaela Bush
• Devin Allen Busha

• Physician Assistant in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.