Individual provider Active NPI

Kirby Megan Busca, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1225634728
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11010038 Issued in FL
Practice address
1046 Mar Walt Dr # 200
Fort Walton Beach, FL 32547-6645
Phone
(850) 243-2229
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11010038 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11010038 FL Primary

Addresses

Primary practice location

1046 Mar Walt Dr # 200
Fort Walton Beach, FL 32547-6645

Mailing address

652 Angier Ave NE Apt 427
Atlanta, GA 30308-3185
Phone (609) 744-5549

Other practice location 1

2400 SW 69th Avenue
Miami, FL 33155
Phone (305) 265-4441

Other practice location 2

585 NW 161st St Ste 200-300
Miami, FL 33169-6314
Phone (305) 830-4111

Other practice location 3

263 N University Dr
Pembroke Pines, FL 33024-6715
Phone (954) 989-5747

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11010038FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Florida, Inc. Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kirby.busca.2@23211.direct.athenahealth.com

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1225634728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 ANGIER AVE NE APT 427",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083185",
            "telephone_number": "609-744-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MAR WALT DR # 200",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476645",
            "telephone_number": "850-243-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 SW 69th Avenue",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33155",
            "country_code": "US",
            "telephone_number": "305-265-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 NW 161st St Ste 200-300",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331696314",
            "country_code": "US",
            "telephone_number": "305-830-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246715",
            "country_code": "US",
            "telephone_number": "954-989-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCA",
        "first_name": "KIRBY",
        "middle_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010038",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.