Jennifer Busenkell, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5841 Issued in AZ

Practice address

6704 W Latham St
Phoenix, AZ 85043-1400

Phone

(623) 226-3404

Fax

(623) 399-1277

NPI assigned

Oct 5, 2014

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1412467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1306249339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 W LATHAM ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431400",
            "telephone_number": "623-226-3404",
            "fax_number": "623-399-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 W LATHAM ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850431400",
            "telephone_number": "623-226-3404",
            "fax_number": "623-399-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSENKELL",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-05",
        "last_updated": "2021-04-09",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Warren Busby, CRNA
• Tina Lynn Busby, F.N.P.
• Cory Buschmann, MD
• Lisa Michelle Buschmann, MD
• Sarah Buschmann, PT, DPT
• Jackie Bush, RN
• Jennifer Lynn Bush, D.C.
• Joseph Kerry Bush, M.D.
• Melissa Lynn Bush, RNP
• Sarah Bushbaum, BS, DTR

• Medical Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.