Kalethia Bush, LPN, CPT, EDDA

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

30002221 Issued in LA

Practice address

1606 Industrial CT
Arlington, TX 76011-4726

Phone

(972) 861-2013

Fax

(214) 889-8499

NPI assigned

Apr 25, 2022

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Family Wellness Center

  dba All Family Wellness Center Arlington

  • Acute Care Nurse Practitioner
  • Arlington, TX
  • NPI 1992579080
  NPD Authorized official
• Bush Career Institute

  dba Healthcare Careers Institute & Vital Care Clinic

  • Medical Laboratory Technician
  • Duncanville, TX
  • NPI 1790407005
  NPD Authorized official
• Community Wellness Hub

  • Nurse Practitioner
  • Monroe, LA
  • NPI 1598656035
  Authorized official Same address or phone
• Community Wellness Hub

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1922988906
  Authorized official Same address or phone

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1780328799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 INDUSTRIAL CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114726",
            "telephone_number": "318-331-2150",
            "fax_number": "214-889-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 INDUSTRIAL CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760114726",
            "telephone_number": "972-861-2013",
            "fax_number": "214-889-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "KALETHIA",
        "name_prefix": "Ms.",
        "credential": "LPN, CPT, EDDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "30002221",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "LA",
            "license": "Y4K7H8M8",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashonda Mychele Burns, F.N.P.
• Dominica Burnside-Willis
• Rise' Colleen Burton
• Michele Annette Burzynski, MD
• Robert Alexander Buschow, M.D.
• Shaniqua Bush, BA
• Taylor Bush
• Erica Linda Bustos, ERICA BUSTOS PT
• Jessica Butler
• Mar'Nene Nicole Butler, COTA

• Licensed Practical Nurse in Arlington, TX
• Providers in Arlington, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.