Busola Stella Amurawaiye, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1001197 Issued in TX

Practice address

1005 W Ralph Hall Pkwy Ste 227
Rockwall, TX 75032-6695

Phone

(469) 769-4529

NPI assigned

Oct 25, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

MPP Infusion Center of Tyler LLCGroup PAC ID 5496019507, 12 clinicians

Multigroup Physician Practice of TexasGroup PAC ID 1557591971, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: busola.amurawaiye.1@29558.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23734/brand/1/csg/1/fhir/r4

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.

• MPP Infusion Center of Tyler LLC

  • Infusion Therapy Clinic/Center
  • Tyler, TX
  • NPI 1952812109
  Medicare reassignment Care Compare group NPD
• Multigroup Physician Practice of Texas

  • Infusion Therapy Clinic/Center
  • Dallas, TX
  • NPI 1174953194
  Medicare reassignment Care Compare group NPD
• Rippl Care PC of Washington Inc

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1427767391

  TX

  Medicare reassignment NPD
• Larouge Personal Home Care, Inc.

  • In Home Supportive Care Agency
  • Baton Rouge, LA
  • NPI 1982275624
  NPD (past)
• Rippl Care PC of New Jersey, PC

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1033970025
  NPD (past)

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1194324640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LONE HILL LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263494",
            "telephone_number": "512-758-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 227",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326695",
            "telephone_number": "469-769-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMURAWAIYE",
        "first_name": "BUSOLA",
        "middle_name": "STELLA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1001197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY NUMBER",
            "identifier": "35105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Ashley Alvarado
• Nelly Alvarez
• Alvera Rehab Associates, Inc (Expedient Home Health Care)
• America's Best Contacts & Eyeglasses
• Kimberly Amezquita, PA
• Petar Anastasov
• Anchor Family Services, Inc
• Anchor Psychiatry
• Kristine Anderson-McGee
• Brooke Anderson

• Family Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.