Mindy Kay Bush, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3006234 Issued in KY

Practice address

3999 Dutchmans LN Ste a
Louisville, KY 40207-4744

Phone

(502) 365-2655

Fax

(502) 365-2770

NPI assigned

Aug 12, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Advanced Healthcare Associates LLP

  • Geriatric Medicine (Internal Medicine) Physician
  • Elwood, IN
  • NPI 1841225091

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710119565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 MOUNT TABOR RD STE A",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506951",
            "telephone_number": "812-981-3111",
            "fax_number": "812-981-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074744",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Mount Tabor Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506951",
            "country_code": "US",
            "telephone_number": "812-981-3111",
            "fax_number": "812-981-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6400 Dutchmans Pkwy",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053340",
            "country_code": "US",
            "telephone_number": "502-587-9660 x239",
            "fax_number": "502-540-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MINDY",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28160661A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3006234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine A Bush, OTR/L
• Mark A Bush, PMHNP
• Melvin J Bush, MD
• Micaela Erin Bush, DO
• Michael Bush
• Sarah Bush, MD
• Shannon Bush
• Talyiah Bush, PHARMD
• Chris A Bushnell, PA-C
• Denise L. Buskill, APRN

• Adult Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.