Stephanie Lyn Busch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

289195-3102 Issued in UT

Practice address

JCT. US Hwy 160 & Navajo Route 35 - Red Mesa
Four Corners Regional Health Center
Teec Nos Pos, AZ 86514

Phone

(928) 656-5000

Fax

(928) 656-5164

NPI assigned

Jun 17, 2011

Last updated

Jun 17, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1457646473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 30",
            "address_2": "FOUR CORNERS REGINAL HEALTH CENTER, HCR 6100",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JCT. US HWY 160 & NAVAJO ROUTE 35 - RED MESA",
            "address_2": "FOUR CORNERS REGIONAL HEALTH CENTER",
            "city": "TEEC NOS POS",
            "state": "AZ",
            "postal_code": "86514",
            "telephone_number": "928-656-5000",
            "fax_number": "928-656-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "STEPHANIE",
        "middle_name": "LYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "289195-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Roy Begay
• Robbie J. Besel, RN
• Frank Gerhardt Bieberly Jr., MD
• Stephen Malcolm Bowers, MD MPH
• Katie Brianne Bozarth, MSN, APRN, FNP-C
• Jeanne Anne Church, RN
• Christina Anna Clarke, LCSW
• Rhonda Ann Clay, RN
• Joy L Cooper, RN
• Douglas Andrew Cordel, DPT

• Registered Nurse in Teec Nos Pos, AZ
• Providers in Teec Nos Pos, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.