Individual provider Active NPI

Sherry Lea Bush, CMT/CNA/CPR/INSULIN

  • Technician
  • Festus, MO
National Provider Identifier
1538306253
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
005588 Issued in MO
Practice address
222 N 3Rd St
Festus, MO 63028-1962
Phone
(636) 933-9929
NPI assigned
Jan 16, 2009
Last updated
Jan 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 005588 MO Primary
Attendant Care Provider 3747A0650X 005588 MO
Personal Care Attendant 3747P1801X 005588 MO
Nurse's Aide 376K00000X 102032 MO

Addresses

Primary practice location

222 N 3Rd St
Festus, MO 63028-1962

Mailing address

222 N 3Rd St
Festus, MO 63028-1962
Phone (636) 933-9929

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

State licenses

LicenseStateTypeSpecialty
102032MOMDPhysical Therapist
005588MOMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1538306253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 3RD ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281962",
            "telephone_number": "636-933-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 3RD ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281962",
            "telephone_number": "636-933-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "SHERRY",
        "middle_name": "LEA",
        "credential": "CMT/CNA/CPR/INSULIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "MO",
            "license": "005588",
            "primary": true
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "MO",
            "license": "005588",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MO",
            "license": "005588",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MO",
            "license": "102032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.