Active NPI
Lynne Marie Bustraan, APRN
- Adult Health Clinical Nurse Specialist
- Orlando, FL
National Provider Identifier
1417596883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- APRN2689732
- Practice address
- 52 W Underwood St
Orlando, FL 32806-1110 - Phone
- (407) 843-7165
- NPI assigned
- Jan 2, 2020
- Last updated
- Jan 2, 2020
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | APRN2689732 | FL | Primary |
Addresses
Primary practice location
52 W Underwood St
Orlando, FL 32806-1110
Mailing address
2700 N Peninsula Ave Apt 425
New Smyrna Beach, FL 32169-2079
Phone (407) 221-4914
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN2689732 | FL | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581
Interoperability endpoints
- lbustraan33037@orlandohealth.medalliesdirect.net
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.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1417596883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N PENINSULA AVE APT 425",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321692079",
"telephone_number": "407-221-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-843-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTRAAN",
"first_name": "LYNNE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "FL",
"license": "APRN2689732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.