Active NPI
Tom Buske
- Counselor
- Ukiah, CA
National Provider Identifier
1477979219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 205 N Bush St
Ukiah, CA 95482-4361 - Phone
- (707) 463-0405
- NPI assigned
- Mar 17, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
205 N Bush St
Ukiah, CA 95482-4361
Mailing address
205 N. Bush
Ukiah, CA 95482
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1477979219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N. BUSH",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N BUSH ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824361",
"telephone_number": "707-463-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSKE",
"first_name": "TOM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.