Brian Haberbush

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60250721 Issued in WA

Practice address

220 E Rowan Ave Ste 300
Spokane, WA 99207-1203

Phone

(509) 489-3554

Fax

(509) 489-3558

NPI assigned

Oct 16, 2009

Sex

Male

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacwest Healthcare PLLCGroup PAC ID 5395199269, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.haberbush.1@30370.direct.athenahealth.com

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.

• Pacwest Healthcare, PLLC

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1952093742
  Medicare reassignment Care Compare group NPD
• Spokane Behavioral Health LLC

  dba Inland Northwest Behavioral Health

  • Psychiatric Hospital
  • Spokane, WA
  • NPI 1932698107
  Medicare reassignment NPD
• Doctors Clinic of Spokane

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1497760292
  NPD (past)

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1861727356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-489-3554",
            "fax_number": "509-489-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-489-3554",
            "fax_number": "509-489-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERBUSH",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60250721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Kim Ha
• Rachael Haas-Walster, LMHCA
• Jorden Haas, PHARM.D.
• Heather Haasl, LMHC
• Hab Transportation
• Hamid Habibi, M.D
• Anna Hackenmiller, MD
• Robert G Haddad, D.C., RPH
• Sami Zeidan Haddad, PHARMD
• Sarah M Hader, RD

• Family Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.