Active NPI
Amy Jo Bussell, APRN
- Family Nurse Practitioner
- Harrogate, TN
National Provider Identifier
1356784805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3008011
- Practice address
- 6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012 - Phone
- (423) 526-7988
- NPI assigned
- Apr 15, 2013
- Last updated
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3008011 | KY | Primary |
Addresses
Primary practice location
6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012
Mailing address
PO Box 44
Harrogate, TN 37752-0044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q014334 | Medicaid | TN | |
| 7100269880 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Lincoln Memorial University Medical Department, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6650 Cumberland Gap Pkwy
Harrogate, TN 37752-8012
Phone (423) 441-8011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrogate Health Group LLC | Family | Current | Accepting new patients |
Locations
165 Westmoreland St
Harrogate, TN 37752
Phone (423) 441-8011
6650 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 441-8011
Interoperability endpoints
- amy.goodin.1@11792.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tazewell, TN
- NPI 1942205166
-
dba Amedisys Home Health Care
- Home Health Agency
- Morristown, TN
- NPI 1639127319
-
dba ARH Specialty Associates - Middlesboro
- Multi-Specialty Clinic/Center
- Middlesboro, KY
- NPI 1801403092
Hospital
-
dba Middlesboro ARH Hospital
- General Acute Care Hospital
- Middlesboro, KY
- NPI 1891792495
-
dba ARH Middlesboro Internal Medicine Clinic
- Internal Medicine Physician
- Middlesboro, KY
- NPI 1932415882
Hospital
-
dba Amedisys Home Health Care
- Home Health Agency
- Middlesboro, KY
- NPI 1942250592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1356784805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377520044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 CUMBERLAND GAP PKWY",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377528012",
"telephone_number": "423-526-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSELL",
"first_name": "AMY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3008011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q014334",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100269880",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrogate, TN
- Michael Su Boyer, CRNA
- Marissa Brasher
- Mara Elizabeth Brock, ATC
- Amanda G Brown, FNP
- Virginia Buracioc, PA
- Noe Caballero Rodriguez, RN
- Madison Grace Calloway
- Campbell County Hma LLC (Irene & Howard Baker Cancer Center)
- Cancer Center Harrogate (Irene and Howard H Baker Cancer Treatment Center)
- Madison Carpenter, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.