Individual provider Active NPI

Busara Songtanin

  • Student in an Organized Health Care Education/Training Program
  • Lubbock, TX
National Provider Identifier
1598337990
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BP10075606 Issued in TX
Practice address
5202 Auburn St Apt No815
Lubbock, TX 79416-1454
Phone
(806) 999-0840
NPI assigned
Jul 14, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10075606 TX Primary

Addresses

Primary practice location

5202 Auburn St Apt No815
Lubbock, TX 79416-1454

Mailing address

3601 4TH St Stop 9410
Lubbock, TX 79430-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719003600 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8123421872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1598337990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST STOP 9410",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794309410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 AUBURN ST APT NO815",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794161454",
            "telephone_number": "806-999-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGTANIN",
        "first_name": "BUSARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10075606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.