Active NPI
Jessica Lee Bussard, CNP
- Acute Care Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1386378859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2022007067
- Practice address
- 3200 Vine St
Cincinnati, OH 45220-2213 - Phone
- (513) 578-7955
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2022007067 | OH | Primary |
Addresses
Primary practice location
3200 Vine St
Cincinnati, OH 45220-2213
Mailing address
4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 961-5558
Other practice location 1
4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 961-5558 ext. 1001
Other names 1
- Jessica Lee Oliver
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022007067 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhills Healthcare Inc | Acute Care | Current | Accepting new patients |
Locations
4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
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": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1386378859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 MONTGOMERY RD STE 150",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122280",
"telephone_number": "513-961-5558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 VINE ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202213",
"telephone_number": "513-578-7955"
}
],
"practiceLocations": [
{
"address_1": "4805 Montgomery Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452122280",
"country_code": "US",
"telephone_number": "513-961-5558 x1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSSARD",
"first_name": "JESSICA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "2022007067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "OLIVER",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.