Individual provider Active NPI

Martha Kay Bushmiaer, APN

  • Adult Health Clinical Nurse Specialist
  • Little Rock, AR
National Provider Identifier
1487617429
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
S01059 Issued in AR
Practice address
600 S McKinley St
Suite 102
Little Rock, AR 72205-5202
Phone
(501) 666-2824
Fax
(501) 666-9653
NPI assigned
Apr 10, 2006
Last updated
Jun 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X S01059 AR Primary

Addresses

Primary practice location

600 S McKinley St
Suite 102
Little Rock, AR 72205-5202

Mailing address

600 S McKinley St
Suite 102
Little Rock, AR 72205-5202
Phone (501) 666-2824

Other identifiers 2

IdentifierTypeStateIssuer
5T887OtherARARKANSAS BLUE CROSS BLUE SHEILD
5T887C207OtherARMEDICARE

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
S01059ARMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1487617429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-666-2824",
            "fax_number": "501-666-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 102",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-666-2824",
            "fax_number": "501-666-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHMIAER",
        "first_name": "MARTHA",
        "middle_name": "KAY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S01059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHEILD",
            "identifier": "5T887",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5T887C207",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.