Libby Bush

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1332 Plantation Rd NE
Roanoke, VA 24012-5713

Phone

(540) 795-3053

NPI assigned

Oct 24, 2024

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 24, 2024.

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1609698380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WILDERNESS RD",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245882002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 PLANTATION RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125713",
            "telephone_number": "540-795-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "LIBBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd Randell Burton, M.D.
• John Hinty Burton, MD
• Matthew Scott Burton
• Brooke Duggins Burwell, DO
• Hayley R Busch, DO
• Maggie Kathryn Bush
• John Phillip Bushkar, M.D.
• Ryan Bushkar
• Cody Bushman
• Noah Bushman, DPT, PT

• All providers in Roanoke, VA
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.