HAYLEY LOIS BUSTOS FNP NPI 1649523515

NPI Information

NPI: 1649523515
Provider Name: HAYLEY LOIS BUSTOS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3777 FRONTAGE RD
MICHIGAN CITY, IN
ZIP 46360
Phone: (219) 879-6021
Get Directions

Hayley Lois Bustos, FNP is a family nurse practitioner in Michigan City, IN. Hayley Lois Bustos, FNP NPI is 1649523515. 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:

3777 FRONTAGE RD
MICHIGAN CITY, IN
ZIP 46360-695
Phone: (219) 879-6021
Fax: (219) 879-6365

The NPI 1649523515 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 10/17/2012 and was last updated on 12/17/2014.

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	363LF0000X	Nurse Practitioner	Family	28173025A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71004262A	INDIANA	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	151020011	OTHER	INDIANA	MEDICARE PTAN
2	201128570	MEDICAID	INDIANA
3	P01209920	OTHER	INDIANA	RAILROAD MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »