Tanya Wynoma Busby

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RA03400315 Issued in CA

Practice address

64105 Hillside Road
Happy Camp, CA 96039

Phone

(530) 493-1450

Fax

(530) 493-1451

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Karuk Tribe

  dba Karuk Community Health Clinic

  • General Practice Physician
  • Happy Camp, CA
  • NPI 1952483406
  NPD
• Karuk Tribe

  dba Karuk Tribal Health Program

  • General Practice Physician
  • Yreka, CA
  • NPI 1730279423
  NPD (past)

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1821779398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "960391016",
            "telephone_number": "530-493-1450",
            "fax_number": "530-493-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64105 HILLSIDE ROAD",
            "city": "HAPPY CAMP",
            "state": "CA",
            "postal_code": "96039",
            "telephone_number": "530-493-1450",
            "fax_number": "530-493-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "TANYA",
        "middle_name": "WYNOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RA03400315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alixandra Nicole Alfke, RN BSN
• Michael Celayeta Sr., R.PH.
• Chelsea Chambers, P.A.-C
• Eric Chau, D.O.
• Thanh Tat DO, D.D.S.
• David Eisenberg, RN

• Addiction (Substance Use Disorder) Counselor in Happy Camp, CA
• Providers in Happy Camp, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.