Provider Demographics
NPI:1386427037
Name:BUSBY, LAURA ASHTON
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ASHTON
Last Name:BUSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3948 BEN WALTERS LANE
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603
Mailing Address - Country:US
Mailing Address - Phone:907-283-0085
Mailing Address - Fax:907-283-0084
Practice Address - Street 1:51310 TIMBER BAY CT
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-9812
Practice Address - Country:US
Practice Address - Phone:907-235-3250
Practice Address - Fax:907-235-3251
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1712359Medicaid
AK1020987Medicaid