Individual provider Active NPI

Kristen Ryley Bugay

  • Student in an Organized Health Care Education/Training Program
  • Evansville, IN
National Provider Identifier
1700614484
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
118 SE 1St St Apt 2a
Evansville, IN 47708-1496
Phone
(765) 404-2340
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

118 SE 1St St Apt 2a
Evansville, IN 47708-1496

Mailing address

118 SE 1St St Apt 2a
Evansville, IN 47708-1496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527003047 IN Order and Referring Only - AnesthesiologyPractitioner - Anesthesiology 9830669266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1700614484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SE 1ST ST APT 2A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SE 1ST ST APT 2A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081496",
            "telephone_number": "765-404-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGAY",
        "first_name": "KRISTEN",
        "middle_name": "RYLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.