Active NPI
Angela R Busbee, OT
- Specialist
- Lucedale, MS
National Provider Identifier
1164640512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT2067
- Practice address
- 2210 Mill Street Ext # B
Lucedale, MS 39452-6064 - Phone
- (601) 947-9005
- Fax
- (601) 947-9007
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT2067 | MS | Primary |
Addresses
Primary practice location
2210 Mill Street Ext # B
Lucedale, MS 39452-6064
Mailing address
190 Beauvoir Rd
Biloxi, MS 39531-5004
Phone (228) 388-5714
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT2067 | MS | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164640512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 BEAUVOIR RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395315004",
"telephone_number": "228-388-5714",
"fax_number": "228-388-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MILL STREET EXT # B",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526064",
"telephone_number": "601-947-9005",
"fax_number": "601-947-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSBEE",
"first_name": "ANGELA",
"middle_name": "R",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "OT2067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lucedale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.