Victoria Jean Bussey

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13910 Issued in FL

Practice address

220 N Main St Ste 2
Chiefland, FL 32626-0870

Phone

(352) 490-7500

NPI assigned

Sep 19, 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

Other identifiers 1

Other names 1

• Miss Victoria Jean Lastinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1407258668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260870",
            "telephone_number": "352-490-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST STE 2",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326260870",
            "telephone_number": "352-490-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "VICTORIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014097800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "LASTINGER",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vera E Brecken-Marquis, ARNP
• Jennifer L. Brown-Jackson, D.M.D.
• Benjamin Matthew Brown, DPT
• Sheryl Burke, APRN
• Valerie C Burns, MD
• Lauren Cabeza
• Monica Lynn Cannon
• Summer Leann Carlton, LMT
• Steven Michael Carney, MSW, LCSW
• Todd Matthew Carson, OTR/L

• Speech-Language Pathologist in Chiefland, FL
• Providers in Chiefland, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.