LASTACIA BUSH APRN
NPI 1437615523
Nurse Practitioner - Family in Orlando, FL

Q: What is Lastacia Bush's NPI number?

The NPI number for Lastacia Bush is 1437615523. It was assigned to this individual provider in the NPPES registry on February 14, 2019.

Q: What is Lastacia Bush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lastacia Bush was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2019

77.4/100

CMS Quality Rating

7599 W SAND LAKE RD, ORLANDO, FL 32819(407) 352-1177 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2022, Feb 14, 2019 (2 updates tracked since 2019).

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About Lastacia Bush Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LASTACIA BUSH APRN (NPI 1437615523) is an individual family provider in Orlando, Florida, licensed in Florida (11022488) and active in the NPI registry since February 2019. She maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1437615523

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLASTACIA BUSHCredential: APRN

Location Address7599 W SAND LAKE RDOrlando, FL 32819-5109

Mailing Address7599 W Sand Lake RdOrlando, FL 32819-5109 · (407) 352-1177

Phone(407) 352-1177

Sole ProprietorNo

Enumeration DateFebruary 14, 2019

Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration

NPPES CertifiedNovember 16, 2022

✔ NPI 1437615523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11022488

Also ListedRegistered NurseTaxonomy 163W00000X · License 9374281 (FL)

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 9374281 (FL)

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 9374281 (FL)

Also ListedRegistered Nurse · RehabilitationTaxonomy 163WR0400X · License 9374281 (FL)

Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 9374281 (FL)

Also ListedAdult CompanionTaxonomy 372600000X · License 9374281 (FL)

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X · License 9374281 (FL)

Also ListedHome Health AideTaxonomy 374U00000X · License 9374281 (FL)

Also ListedNurse's AideTaxonomy 376K00000X · License 9374281 (FL)

7599 W SAND LAKE RD, Orlando, FL 32819

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Other Names 1

Former Name (1)Lastacia Bush

Secondary Practice Location 1

Location 1713 Doby AveOrlando, FL 32805-3046 · Phone (386) 983-0154

Other Identifiers 1

Medicaid0135291002FL

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.24

Improvement Activities

Cost

59.06

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA TAFZON DINBERU

Pharmacist