Active NPI
Courtney Lynn Busha
- Doula
- Roswell, GA
National Provider Identifier
1700395100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 55 Martin Point CT
Roswell, GA 30076-2830 - Phone
- (404) 407-0015
- NPI assigned
- Sep 28, 2017
- Last updated
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | GA | ||
| In Home Supportive Care Agency | 253Z00000X | GA | ||
| Doula | 374J00000X | GA | Primary |
Addresses
Primary practice location
55 Martin Point CT
Roswell, GA 30076-2830
Mailing address
55 Martin Point CT
Roswell, GA 30076-2830
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1700395100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MARTIN POINT CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MARTIN POINT CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762830",
"telephone_number": "404-407-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHA",
"first_name": "COURTNEY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.