Active NPI
Cari A Bushey, NP
- Nurse Practitioner
- Brooklyn Center, MN
National Provider Identifier
1619265444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R 165660-2
- Practice address
- 6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center, MN 55430-2128 - Phone
- (763) 561-5349
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R 165660-2 | MN | Primary |
Addresses
Primary practice location
6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center, MN 55430-2128
Mailing address
6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center, MN 55430-2128
Phone (763) 561-5349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 165660-2 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ilbnc, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415145600000",
"number": "1619265444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 260",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 260",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHEY",
"first_name": "CARI",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2014-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 165660-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.