Gladys T. Bush, HEALTH COACH CCMA
NPI 1891326690ActiveIndividual· Prevention Professional· Shreveport, LA
Prevention Professional (HEALTH COACH CCMA) in Shreveport, Louisiana, licensed in NY, with an NPI issued in January 2020.
Overview
| NPI | 1891326690 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | HEALTH COACH CCMA |
| Sole proprietor | Yes |
| NPI issued | Jan 30, 2020 |
| Last updated in NPPES | Jan 30, 2020 |
| Certified by provider | Jan 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X | 60312804 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|