Katherine Lee Bushong, RN, ARNP
Individual provider Active NPI Nurse Practitioner · Crestview Hills, KY
NPI 1932201845 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932201845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2635P (KY)
- Practice address
- 320 Thomas More Pkwy
Crestview Hills, KY 41017-3410 - Phone
- (859) 341-4266
- Fax
- (859) 341-9532
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2635P | KY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2635P | KY | Yes |
Addresses
Primary practice location
320 Thomas More Pkwy
Crestview Hills, KY 41017-3410
Mailing address
111 Wellington PL
Cincinnati, OH 45219-1758
Phone (513) 961-4700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78007119 | Medicaid | KY | |
| 000000194047 | Other | ANTHEM |
Other providers in Crestview Hills, KY
- Meredith Nicole Brueggemann
- Del A Burchell
- Charles Jeffrey Burgher
- Charlene Burlew
- Kerrin D Burte
- Elizabeth Butcher
- Joshua A Caldwell
- Rebecca Rose Callis
- Elizabeth Dawn Cammack
- Bethany H Campbell
All providers in Crestview Hills, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.