Active NPI
Sharda Nirmala Busse, NP-C
- Nurse Practitioner
- Thomasville, NC
National Provider Identifier
1821078023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5001135
- Practice address
- 200 Arthur Dr
Thomasville, NC 27360-6275 - Phone
- (336) 475-2348
- Fax
- (336) 475-2100
- NPI assigned
- Jan 23, 2006
- Last updated
- Aug 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5001135 | NC | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 005001135 | NC |
Addresses
Primary practice location
200 Arthur Dr
Thomasville, NC 27360-6275
Mailing address
200 Arthur Dr
Thomasville, NC 27360-6275
Phone (336) 475-2348
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1212660021 | Other | NC | DME |
| 7004791 | Medicaid | NC | |
| P00784396 | Other | NC | RR MEDICARE |
| 131753 | Other | NC | MEDICAL LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001135 | NC | MD | Nurse Practitioner |
| 005001135 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Past | Accepting new patients | |
| Thomasville/Archdale Pediatrics PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Registered Dietitian
- Thomasville, NC
- NPI 1891094553
-
dba Atrium Health Levine Children's Pediatrics Northwest
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1821078023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ARTHUR DR",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273606275",
"telephone_number": "336-475-2348",
"fax_number": "336-475-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ARTHUR DR",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273606275",
"telephone_number": "336-475-2348",
"fax_number": "336-475-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSE",
"first_name": "SHARDA",
"middle_name": "NIRMALA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5001135",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "005001135",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME",
"identifier": "1212660021",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004791",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00784396",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "131753",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.