Active NPI
Allana Kathleen Bush, NP-C, RN
- Nurse Practitioner
- Lake Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277.003740
- Practice address
- 1025 W Everett Rd Ste 2
Lake Forest, IL 60045-2668 - Phone
- (224) 436-8006
- Fax
- (815) 331-1257
- NPI assigned
- Mar 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 277.003740 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | AP61154896 | WA | |
| Family Nurse Practitioner | 363LF0000X | 14329-33 | WI | |
| Registered Nurse | 163W00000X | 95022797 | CA | |
| Family Nurse Practitioner | 363LF0000X | 202102459NP-PP | OR | |
| Registered Nurse | 163W00000X | 041.543152 | IL | |
| Registered Nurse | 163W00000X | RN61154884 | WA | |
| Registered Nurse | 163W00000X | 201705327RN | OR | |
| Family Nurse Practitioner | 363LF0000X | 95016976 | CA | |
| Registered Nurse | 163W00000X | 1106418-30 | WI |
Addresses
Primary practice location
1025 W Everett Rd Ste 2
Lake Forest, IL 60045-2668
Mailing address
1025 W Everett Rd Ste 2
Lake Forest, IL 60045-2668
Phone (224) 436-8006
Other practice location 1
5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.543152 | IL | MD | Registered Nurse |
| 201705327RN | OR | MD | Registered Nurse |
| RN61154884 | WA | MD | Registered Nurse |
| 1106418-30 | WI | MD | Registered Nurse |
| 277.003740 | IL | MD | Nurse Practitioner |
| 202102459NP-PP | OR | MD | Family Nurse Practitioner |
| AP61154896 | WA | MD | Family Nurse Practitioner |
| 14329-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camarena Health | Family | Current | Accepting new patients |
| Camarena Health | Current | Accepting new patients | |
| John C Fremont Healthcare District | Current | Accepting new patients | |
| Lake Forest Regenesis Medical Center, PLLC | Current | Accepting new patients | |
| John C Fremont Healthcare District | Current | Accepting new patients | |
| John C Fremont Healthcare District | Current | Accepting new patients | |
| Camarena Health | Current | Accepting new patients |
Locations
5186 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-0850
5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631
49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724
1025 W Everett Rd
Ste 2
Lake Forest, IL 60045
Phone (224) 436-8006
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b
Organizations & group practices 7
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.
-
- Rural Acute Care Hospital
- Mariposa, CA
- NPI 1750504270
-
- Clinic/Center
- Lake Forest, IL
- NPI 1871308999
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1114757754
-
- Federally Qualified Health Center (FQHC)
- Madera, CA
- NPI 1588086771
-
- Family Medicine Physician
- Coulterville, CA
- NPI 1124248901
-
- Family Medicine Physician
- Mariposa, CA
- NPI 1134342652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1972189975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W EVERETT RD STE 2",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452668",
"telephone_number": "224-436-8006",
"fax_number": "815-331-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W EVERETT RD STE 2",
"city": "LAKE FOREST",
"state": "IL",
"postal_code": "600452668",
"telephone_number": "224-436-8006",
"fax_number": "815-331-1257"
}
],
"practiceLocations": [
{
"address_1": "5189 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Mariposa",
"state": "CA",
"postal_code": "953389524",
"country_code": "US",
"telephone_number": "209-966-3631",
"fax_number": "209-846-2043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "ALLANA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "NP-C, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-20",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277.003740",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61154896",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "14329-33",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95022797",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202102459NP-PP",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.543152",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61154884",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201705327RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95016976",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "1106418-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.