Audrey Lee Bustamante

Primary specialty

School Social WorkerTaxonomy code 1041S0200X

Practice address

201 Lamkin St Apt 101
Pueblo, CO 81003-3558

Phone

(719) 543-6633

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

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

Practice roles

Locations

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.

• Family Care Specialists, Inc.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1992878664
  NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1205679735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 PINE ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810044036",
            "telephone_number": "719-415-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAMKIN ST APT 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033558",
            "telephone_number": "719-543-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "AUDREY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Burks, CRNA
• Christy Burnett
• Raynetta Jean Burns, MA, CAC III
• Robin Bush
• Todd Bush
• Kiralayne Nicole Bustamante
• Alexandria Bustos
• Desiree Butcher, CSW
• Scott Adler Butikofer, M.D.
• Adam M Butler, DO

• School Social Worker in Pueblo, CO
• Providers in Pueblo, CO by specialty
• School Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.