Shannon Busse

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4908 E Los Coyotes Diagonal Apt 1
Long Beach, CA 90815-2838

Phone

(530) 210-4554

Fax

(530) 210-4554

NPI assigned

Feb 21, 2018

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

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467953836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 E LOS COYOTES DIAGONAL APT 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152838",
            "telephone_number": "530-210-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 E LOS COYOTES DIAGONAL APT 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152838",
            "telephone_number": "530-210-4554",
            "fax_number": "530-210-4554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4908 E Los Coyotes Diagonal Apt 1",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908152838",
            "country_code": "US",
            "telephone_number": "530-210-4554",
            "fax_number": "530-210-4554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSSE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Burton
• Tramont Burton
• Allison Nicole Busch, PA-C
• Gregory W Bush, MD
• Dere Randolph Bushey, BSN
• Bustamante Garcia Medical Corp (Good News DPC)
• Daniela Bustamante, SLPA
• Valeryne Bustamante
• John Joseph Bustos, M.D.
• Saloni Butala

• Athletic Trainer in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.