Individual provider Active NPI

Rachel Christina Busby-Drewek

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1164075131
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003071 Issued in FL
Practice address
2009 Miccosukee Rd
Tallahassee, FL 32308-5359
Phone
(850) 942-2299
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003071 FL Primary

Addresses

Primary practice location

2009 Miccosukee Rd
Tallahassee, FL 32308-5359

Mailing address

2505 Bluebell PL
Tallahassee, FL 32308-6231
Phone (850) 509-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20200116002531 FL Practitioner - Nurse Practitioner 8224463468 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003071FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Oct 9, 2021 Accepting new patients
Southeastern Center for Infectious Diseases PA CurrentSince Dec 18, 2019 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Oct 9, 2021 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Past Accepting new patients

Locations

2009 Miccosukee Rd
Ste A
Tallahassee, FL 32308
Phone (850) 942-2299

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

2009 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-4300

Organizations & group practices 5

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1164075131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BLUEBELL PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086231",
            "telephone_number": "850-509-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY-DREWEK",
        "first_name": "RACHEL",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.