Individual provider Active NPI

Godefroid Busane

  • Registered Nurse
  • Washington, DC
National Provider Identifier
1700764370
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
500327704 Issued in DC
Practice address
702 15TH St NE
Washington, DC 20002-4508
Phone
(202) 388-8500
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 500327704 DC Primary

Addresses

Primary practice location

702 15TH St NE
Washington, DC 20002-4508

Mailing address

716 Raven Ave
Gaithersburg, MD 20877-3335
Phone (207) 356-2617

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
500327704DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Love Health Services PastSince Aug 25, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1700764370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 RAVEN AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773335",
            "telephone_number": "207-356-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024508",
            "telephone_number": "202-388-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSANE",
        "first_name": "GODEFROID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "500327704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.