Individual provider Active NPI

Bernadette Michele Richardson Bush, LPN

  • Licensed Practical Nurse
  • Wilkes Barre, PA
National Provider Identifier
1689847535
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN275529 Issued in PA
Practice address
1106 Scott St
Wilkes Barre, PA 18705-3719
Phone
(570) 706-6381
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN275529 PA Primary
Licensed Practical Nurse 164W00000X L33749 AR

Addresses

Primary practice location

1106 Scott St
Wilkes Barre, PA 18705-3719

Mailing address

1106 Scott St
Wilkes Barre, PA 18705-3719
Phone (570) 706-6381

Other names 1

  • Bernadette Michele Hunt Former name

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
L33749ARMDLicensed Practical Nurse
PN275529PAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1689847535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187053719",
            "telephone_number": "570-706-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SCOTT ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187053719",
            "telephone_number": "570-706-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON BUSH",
        "first_name": "BERNADETTE",
        "middle_name": "MICHELE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN275529",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L33749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNADETTE",
            "last_name": "HUNT",
            "middle_name": "MICHELE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.