Individual provider Active NPI

Deborah Busch, PNP

  • Pediatric Nurse Practitioner
  • Ijamsville, MD
National Provider Identifier
1902997133
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
VP005658 Issued in PA
Practice address
2704 Loch Haven Dr
Ijamsville, MD 21754-8816
Phone
(610) 821-4920
Fax
(000) 000-0000
NPI assigned
Sep 26, 2006
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X VP005658 PA Primary
Pediatric Nurse Practitioner 363LP0200X R207154 MD

Addresses

Primary practice location

2704 Loch Haven Dr
Ijamsville, MD 21754-8816

Mailing address

2704 Loch Haven Dr
Ijamsville, MD 21754-8816
Phone (610) 798-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R207154MDMDPediatric Nurse Practitioner
VP005658PAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1902997133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 LOCH HAVEN DR",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548816",
            "telephone_number": "610-798-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 LOCH HAVEN DR",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548816",
            "telephone_number": "610-821-4920",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "DEBORAH",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "VP005658",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R207154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ijamsville, MD

Sources for this page

Verify at the official NPI Registry.