Individual provider Active NPI

Catherine Ann Kush, DNP, GNP-BC

  • Nurse Practitioner
  • Maryland Heights, MO
National Provider Identifier
1205929338
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209005777 Issued in MO
Practice address
11361 Brierhall Cir
Maryland Heights, MO 63043-5002
Phone
(314) 753-6714
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209005777 MO Primary

Addresses

Primary practice location

11361 Brierhall Cir
Maryland Heights, MO 63043-5002

Mailing address

11361 Brierhall Cir
Maryland Heights, MO 63043-5002
Phone (314) 753-6714

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32851MOMDInternal Medicine Physician
209005777MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold S Tepper Inc Nurse Practitioner Past Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner Past Accepting new patients
Geriatric Practitioner Services, LLC Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1205929338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11361 BRIERHALL CIR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630435002",
            "telephone_number": "314-753-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 BRIERHALL CIR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630435002",
            "telephone_number": "314-753-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSH",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "DNP, GNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "209005777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.