Stacie Lynn Busch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

62023 Issued in NE

Practice address

6312 S 167TH S. Ave
6312 S. 167TH Ave
Omaha, NE 68135

Phone

(402) 630-4644

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Stacie Lynn Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1730076787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 SOUTH 167TH AVENUE CIRCLE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301503",
            "telephone_number": "402-651-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 S 167TH S. AVE",
            "address_2": "6312 S. 167TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68135",
            "telephone_number": "402-630-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "STACIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "62023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "PHILLIPS",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "RN, CPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lance L Burwell, LMHC & LIMHP, PC
• Jean M Busboom-Piercy
• Christian Busby, DC
• Angie Busch
• Porscha Busch
• Veronica D Busch, PLMHP
• Amanda Buscher, LCSW
• Andrea L Buscher, RN
• Jadyn Buscher
• Judith Gay Buscher, CMSW,LMHP

• Registered Nurse in Omaha, NE
• Providers in Omaha, NE by specialty
• Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.