Alexandra A Busack

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

ST2585 Issued in ME

Practice address

144 US Route 1 Ste 4
Scarborough, ME 04074-7219

Phone

(207) 219-8300

Fax

(207) 219-8301

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25243/brand/1/csg/1/fhir/r4

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.

• Scarborough Neurodevelopment Center, LLC

  • Speech-Language Pathologist
  • Scarborough, ME
  • NPI 1659701498
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1790232775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1 STE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-219-8300",
            "fax_number": "207-219-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 US ROUTE 1 STE 4",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747219",
            "telephone_number": "207-219-8300",
            "fax_number": "207-219-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSACK",
        "first_name": "ALEXANDRA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "ST2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B. Burke, M.ED.
• Mitchell Burke, DO
• David C. Burkey, M.D.
• Carla A Burkley, MD
• Michael N Burns
• Mark Robert Buttarazzi, D.M.D.
• David W Butzel, MD
• Douglas Hunter Buxton, MD
• Margaretta Byrne
• Elaine M Cadorette, PAC

• Speech-Language Pathologist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.