Amanda Bush

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1001013 Issued in TX

Practice address

3500 North St
Suite #1-a
Nacogdoches, TX 75965-2472

Phone

(936) 569-8585

Fax

(936) 569-8525

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Sex

Female

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

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.

• Gaddy Enterprises, Inc

  dba Gaddy's Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Nacogdoches, TX
  • NPI 1447776331
  NPD (past) Authorized official
• Gaddy Enterprises, Inc

  dba Gaddy's Medical Equipment & Supplies

  • Durable Medical Equipment & Medical Supplies
  • Nacogdoches, TX
  • NPI 1578983292
  NPD (past) Authorized official

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1952721664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1035",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759351035",
            "telephone_number": "936-590-4464",
            "fax_number": "936-590-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NORTH ST",
            "address_2": "SUITE #1-A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652472",
            "telephone_number": "936-569-8585",
            "fax_number": "936-569-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1001013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Christine Bunch, FNP-C
• Burke Center
• Kassey Burney
• Courtney Blair Burrows, LVN
• Cora Busch
• Natalie Buuck
• Donald E Cagle, M.D.
• Kace L Calan, MSN, APRN, FNP-C
• Betty Caldwell, RN
• Thresa Annette Caldwell, M.A., LBSW

• Durable Medical Equipment & Medical Supplies in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.