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1164337648 NPI number — AMBER KAYE BUSH CFMP, BFHS

NPI Number: 1164337648
Health Care Provider/Practitioner: AMBER KAYE BUSH CFMP, BFHS

Information about “1164337648” NPI (AMBER KAYE BUSH CFMP, BFHS) exists in 1164337648 in HTML format HTML  |  1164337648 in plain Text format TXT  |  1164337648 in PDF (Portable Document Format) PDF  |  1164337648 in an XML format XML  formats.

NPI Number : 1164337648 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164337648",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BUSH",
    "FirstName": "AMBER",
    "MiddleName": "KAYE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CFMP, BFHS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BUSH-HENSLEY",
    "OtherFirstName": "AMBER",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "CFMP, BFHS",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "365 GRAND CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERSET",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42503-4895",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "606-802-5970",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1112 S HIGHWAY 27",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOMERSET",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42501-3503",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-802-5970",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/18/2026",
    "LastUpdateDate": "08/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "171400000X",
          "TaxonomyName": "Health & Wellness Coach",
          "LicenseNumber": "AP-FMCC-2026-MHZJSR",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "175L00000X",
          "TaxonomyName": "Homeopath",
          "LicenseNumber": "AP-BIORESON-2026-OUE",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "246Z00000X",
          "TaxonomyName": "Other Specialist/Technologist",
          "LicenseNumber": "AP-PEPTIDE-2026-IRRK",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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