Vickie L Bush, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71001673A Issued in IN

Practice address

4498 N 1St Ave
Evansville, IN 47710-3622

Phone

(812) 436-7280

Fax

(812) 436-7290

NPI assigned

Aug 3, 2005

Last updated

Jun 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Vickie L Bush Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: vickiel.bushnp.p3@direct.cvr.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohio Valley Heartcare Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1124078852
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1659372332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-436-7280",
            "fax_number": "812-436-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4498 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103622",
            "telephone_number": "812-436-7280",
            "fax_number": "812-436-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "VICKIE",
        "middle_name": "L",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001673A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001673A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200464740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78011269",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "BUSH",
            "middle_name": "L",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mary J Burst, LCSW
• Matthew Buselli, PHARMD.
• Allison Bush
• Bethany Bush, RBT
• Tracy M Bush, LCSW
• Hollie Charlene Butler, MSW
• James Thomas Andrew Butler, MB MRCP
• Jane Paulette Butler
• Robert John Butler, PHD, PT
• Sydney Marie Altmeyer Butler, MOT

• Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.