{
"Npi": {
"NPI": "1174537542",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BUSCH",
"FirstName": "MICHELLE",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": "I",
"Credential": "A.N.P.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7525 WAYZATA BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ST LOUIS PARK",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55426-1621",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "303-405-2100",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6200 SHINGLE CREEK PKWY",
"SecondLinePracticeLocationAddress": "SUITE 260",
"PracticeLocationAddressCityName": "BROOKLYN CENTER",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55430-2128",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "763-561-5349",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/28/2006",
"LastUpdateDate": "11/20/2025",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "R1294831",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}