Krista Dornbusch

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093211 Issued in MI

Practice address

30685 Barrington St Ste 140
Madison Heights, MI 48071-5116

Phone

(248) 414-4080

Fax

(248) 414-4085

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• Bethany Christian Services

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1235479700
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1306187901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30685 BARRINGTON ST STE 140",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715116",
            "telephone_number": "248-414-4080",
            "fax_number": "248-414-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30685 BARRINGTON ST STE 140",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715116",
            "telephone_number": "248-414-4080",
            "fax_number": "248-414-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBUSCH",
        "first_name": "KRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Dobbs
• Doctor Howard L Dubin PC
• Carolyn Jane Dodson, NP
• Rachel J Dollente Webb
• David Domino, DO
• Jeffrey Robert Dorr, MSW
• Janice M Dorsten, DO
• Taylor Douglas
• Steven D Drennan, O.D
• Alysa Drewery, BEHAVIOR TECHNICIAN

• Clinical Social Worker in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.