Individual provider Active NPI

Leah Bush, CRNP

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1437542354
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-130385 Issued in AL
Practice address
541 W College St
Suite 1100
Florence, AL 35630-5323
Phone
(256) 766-2118
Fax
(256) 766-2101
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-130385 AL Primary

Addresses

Primary practice location

541 W College St
Suite 1100
Florence, AL 35630-5323

Mailing address

541 W College St
Suite 1100
Florence, AL 35630-5323
Phone (256) 766-2118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150611001737 AL Practitioner - Nurse Practitioner 8224359567 Reassigns benefits to 3 organizations
I20230216001206 FL Practitioner - Nurse Practitioner 8224359567 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-130385ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm TVCC LLC CurrentSince Feb 23, 2016 Accepting new patients
Assure Health Medical Group PA CurrentSince Dec 1, 2022 Accepting new patients
Medical Associates of the Shoals, P.C. CurrentSince Apr 12, 2021 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince May 28, 2018 Accepting new patients

Locations

541 W College St
Ste 1100
Florence, AL 35630
Phone (256) 766-2118

1751 Veterans Dr
Ste 200
Florence, AL 35630
Phone (256) 766-2118

2129 Helton Dr
Florence, AL 35630
Phone (256) 718-3200

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660
Phone (256) 383-4447

4500 N State Road 7
Ste 102
Lauderdale Lakes, FL 33319
Phone (301) 541-7714

382 NE 191st St
Miami, FL 33179
Phone (305) 702-0185

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCJBD

Organizations & group practices 5

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1437542354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W COLLEGE ST",
            "address_2": "SUITE 1100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305323",
            "telephone_number": "256-766-2118",
            "fax_number": "256-766-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W COLLEGE ST",
            "address_2": "SUITE 1100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305323",
            "telephone_number": "256-766-2118",
            "fax_number": "256-766-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "LEAH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-130385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.