Active NPI
Denise Noel Bushong, APRN
- Family Nurse Practitioner
- Owensboro, KY
National Provider Identifier
1447569140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3006592
- Practice address
- 3151 Leitchfield Rd
Owensboro, KY 42303-2115 - Phone
- (270) 685-1260
- Fax
- (270) 685-1284
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 3006592 | KY | Primary |
Addresses
Primary practice location
3151 Leitchfield Rd
Owensboro, KY 42303-2115
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000697003 | Other | KY | ANTHEM - NMA |
| 123075 | Other | KY | SIHO - NMA |
| 50031970 | Other | KY | PASSPORT & PASSPORT ADVTG - NMA |
| 7100152260 | Medicaid | KY | |
| P00925545 | Other | KY | RAILROAD MEDICARE KY - NMA |
| 201019490 | Medicaid | IN | |
| 000057094Z | Other | KY | HUMANA - NMA |
Other names 1
- Denise Noel Denton
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006592 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1447569140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-1330",
"fax_number": "270-688-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 LEITCHFIELD RD",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032115",
"telephone_number": "270-685-1260",
"fax_number": "270-685-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHONG",
"first_name": "DENISE",
"middle_name": "NOEL",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3006592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - NMA",
"identifier": "000000697003",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NMA",
"identifier": "123075",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT & PASSPORT ADVTG - NMA",
"identifier": "50031970",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100152260",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE KY - NMA",
"identifier": "P00925545",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201019490",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA - NMA",
"identifier": "000057094Z",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "DENTON",
"middle_name": "NOEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.