Corey Busk, CAPRC-1

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CAPRC1-5427 Issued in IN

Practice address

13993 E Carter Rd
Bloomfield, IN 47424-6125

Phone

(317) 291-1967

Fax

(317) 342-2916

NPI assigned

May 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Newday Center

  • Substance Abuse Rehabilitation Facility
  • Bloomfield, IN
  • NPI 1700432341
  NPD

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1760129142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST STE 340",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602850",
            "telephone_number": "317-291-1967",
            "fax_number": "317-342-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13993 E CARTER RD",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474246125",
            "telephone_number": "317-291-1967",
            "fax_number": "317-342-2916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9240 N Meridian St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462602850",
            "country_code": "US",
            "telephone_number": "317-291-1967 x105",
            "fax_number": "317-342-2916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSK",
        "first_name": "COREY",
        "credential": "CAPRC-1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IN",
            "license": "CAPRC1-5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Family Dental LLC
• Bloomfield School District
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• Franklin Wayne Burton, D.C.
• Jay Louis Cimmer, LMFT
• Nicole Clark, LAT, ATC
• Kari Dawn Cochenour, DPT, PT, LAT, ATC
• Cory Brett Cramer
• Julia G Crane, LCSW

• All providers in Bloomfield, IN
• Peer Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.