Provider Demographics
NPI:1659483998
Name:BUSBY, RHONDA (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:BUSBY
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SPRUCE ST
Mailing Address - Street 2:STE. 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2474
Mailing Address - Country:US
Mailing Address - Phone:206-461-6935
Mailing Address - Fax:206-461-8382
Practice Address - Street 1:201 16TH AVE E
Practice Address - Street 2:MS: CWB-2
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5226
Practice Address - Country:US
Practice Address - Phone:206-324-1449
Practice Address - Fax:206-324-6977
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00052183163WW0101X
WAAP30000972363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9631813Medicaid
AB38292Medicare ID - Type UnspecifiedGREENWOOD CLINIC
AB38287Medicare ID - Type Unspecified45TH ST CLINIC
AB38295Medicare ID - Type UnspecifiedRAINIER BEACH CLINIC
AB38284Medicare ID - Type UnspecifiedHIGH POINT CLINIC
AB28577Medicare ID - Type UnspecifiedMIDWIFERY CLINIC
AB38299Medicare ID - Type UnspecifiedRAINIERPARK CLINIC
WA9631813Medicaid