Individual provider Active NPI

Kamryn Paige Bush, MS

  • Genetic Counselor (M.S.)
  • Virginia Beach, VA
National Provider Identifier
1205760964
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
0140000074 Issued in VA
Practice address
2075 Glenn Mitchell Dr Ste 500
Virginia Beach, VA 23456-0179
Phone
(757) 689-5104
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 0140000074 VA Primary

Addresses

Primary practice location

2075 Glenn Mitchell Dr Ste 500
Virginia Beach, VA 23456-0179

Mailing address

2075 Glenn Mitchell Dr Ste 500
Virginia Beach, VA 23456-0179
Phone (757) 689-5104

Other practice location 1

825 Fairfax Ave Ste 310
Norfolk, VA 23507-1912
Phone (757) 446-7900

Other practice location 2

10852 Warwick Blvd
Newport News, VA 23601-3741
Phone (757) 594-3636

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evms Academic Physicians and Surgeons Health Services Foundation Past Accepting new patients

Organizations & group practices 1

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": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1205760964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 GLENN MITCHELL DR STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560179",
            "telephone_number": "757-689-5104",
            "fax_number": "757-689-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 GLENN MITCHELL DR STE 500",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560179",
            "telephone_number": "757-689-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Fairfax Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071912",
            "country_code": "US",
            "telephone_number": "757-446-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10852 Warwick Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236013741",
            "country_code": "US",
            "telephone_number": "757-594-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KAMRYN",
        "middle_name": "PAIGE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VA",
            "license": "0140000074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.