LASTACIA BUSH APRN NPI 1437615523

NPI Information

NPI: 1437615523
Provider Name: LASTACIA BUSH, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7599 W SAND LAKE RD
ORLANDO, FL
ZIP 32819
Phone: (407) 352-1177
Get Directions

Lastacia Bush, APRN is a family nurse practitioner in Orlando, FL with 2 years of experience. Lastacia Bush, APRN NPI is 1437615523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7599 W SAND LAKE RD
ORLANDO, FL
ZIP 32819-109
Phone: (407) 352-1177

The NPI 1437615523 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 11/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	9374281	FLORIDA	No
2	163WP0200X	Registered Nurse	Pediatrics	9374281	FLORIDA	No
3	163W00000X	Registered Nurse		9374281	FLORIDA	No
4	163WR0400X	Registered Nurse	Rehabilitation	9374281	FLORIDA	No
5	163WW0000X	Registered Nurse	Wound Care	9374281	FLORIDA	No
6	372600000X	Adult Companion		9374281	FLORIDA	No
7	373H00000X	Day Training/Habilitation Specialist		9374281	FLORIDA	No
8	374U00000X	Home Health Aide		9374281	FLORIDA	No
9	376K00000X	Nurse's Aide		9374281	FLORIDA	No
10	363LF0000X	Nurse Practitioner	Family	11022488	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0135291002	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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