Genesis I Bustamante Valle is a Licensed Practical Nurse practicing in West Milwaukee, Wisconsin. The National Provider Identifier (NPI) is #1710852454, which was assigned on October 10, 2025, and the registration record was last updated on October 10, 2025. The practitioner's main practice location is at 1610 Miller Park Way Ste 1600, West Milwaukee, WI 53214-3604; the contact telephone number is 4146723801, and the fax number is 4146726026. The primary taxonomy of Genesis I Bustamante Valle is Licensed Practical Nurse (164W00000X). Genesis I Bustamante Valle is licensed to practice in the state of Wisconsin (#332918-31).
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
| NPI | 1710852454 |
| Entity Type | Individual |
| Provider Name | GENESIS I BUSTAMANTE VALLE |
| Gender | Female |
| Credential | LPN |
| Practice Address |
1610 Miller Park Way Ste 1600 West Milwaukee WI 53214-3604 |
| Practice Telephone | 4146723801 |
| Practice Fax Number | 4146726026 |
| Mailing Address |
1610 Miller Park Way Ste 1600 West Milwaukee WI 53214-3604 |
| Mailing Telephone | 4146723801 |
| Mailing Fax Number | 4146726026 |
| Certification Date | 2025-10-10 |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 332918-31 | WI |
| Code | 164W00000X |
| Taxonomy | Licensed Practical Nurse |
| Classification | Licensed Practical Nurse |
| Grouping | Nursing Service Providers |
| Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|
| Sterling Reed | 6424 18th Ave Fl 2, Brooklyn, NY 11204-3729 | Licensed Practical Nurse | 2025-11-06 |
| Kimberly Kay Scheuler | 2201 N Broadwell Ave, Grand Island, NE 68803-2153 | Licensed Practical Nurse | 2025-11-07 |
| Laura Langaigne | 255 Linden Blvd Apt 2l, Brooklyn, NY 11226-3899 | Licensed Practical Nurse | 2025-11-06 |
| Rachel Johannaha Buck | 25 Merritt Pl, New Hartford, NY 13413-2020 | Licensed Practical Nurse | 2025-11-07 |
| Emily Renee Taylor | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | Licensed Practical Nurse | 2025-11-07 |
| Daija Randle | 2025 Heathcliff Dr Apt 2b, Columbus, OH 43209-3434 | Licensed Practical Nurse | 2025-11-07 |
| Ronniesha Pare | 3556 Carlisle Pl Apt 3f, Bronx, NY 10467-6017 | Licensed Practical Nurse | 2025-11-07 |
| Phyllis A Johnson | 35 Varden Dr Ste A, Aiken, SC 29803-5275 | Licensed Practical Nurse | 2025-11-07 |
| Kysha Messina | 77 E North St, Ilion, NY 13357-1269 | Licensed Practical Nurse | 2025-11-07 |
| Sade' Walker | 31637 Kara Ln, Westland, MI 48186-5582 | Licensed Practical Nurse | 2025-11-07 |
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| Street Address |
1610 MILLER PARK WAY STE 1600 |
| City | WEST MILWAUKEE |
| State | WI |
| Zip Code | 53214-3604 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cory E Foster | 1610 Miller Park Way Ste 16001610, West Milwaukee, WI 53214-3604 | Addiction (Substance Use Disorder) Registered Nurse | 2025-10-02 |
| Kristen A Milsap | 1610 Miller Park Way Ste 16001610, West Milwaukee, WI 53214-3604 | Addiction (Substance Use Disorder) Registered Nurse | 2025-10-08 |
| Kourtney K Haller | 1610 Miller Park Way Ste 16001610, West Milwaukee, WI 53214-3604 | Registered Nurse | 2025-07-16 |
| Levi W Lenzner | 1610 Miller Park Way Ste 16001610, West Milwaukee, WI 53214-3604 | Registered Nurse | 2025-09-18 |
| Mia D Hardison | 1610 Miller Park Way Ste 16001610, West Milwaukee, WI 53214-3604 | Addiction (Substance Use Disorder) Registered Nurse | 2025-07-29 |
| Michele Lee Mccauley | 1610 Miller Park Way Ste 1600, West Milwaukee, WI 53214-3604 | Licensed Practical Nurse | 2025-10-21 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Altcare Health Services Inc | 1636 Miller Park Way, West Milwaukee, WI 53214-3604 | Specialty Pharmacy | 2021-09-01 |
| Qwashala A Harris | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | Addiction (Substance Use Disorder) Counselor | 2022-03-28 |
| Courtney Joanne Cveykus | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | Addiction (Substance Use Disorder) Counselor | 2025-06-05 |
| Altcare Health Services Inc | 1636 Miller Park Way, West Milwaukee, WI 53214-3604 | Pharmacy | 2015-06-24 |
| Altcare Health Services Inc | 1636 Miller Park Way, West Milwaukee, WI 53214-3604 | Long Term Care Pharmacy | 2021-05-10 |
| Preetha Y Kurudiyara | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | Addiction Medicine (Preventive Medicine) Physician | 2007-06-25 |
| Taria Daigle | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | Licensed Practical Nurse | 2025-05-01 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Amy M Deal | 1205 S 70th St, Ste 301, West Allis, WI 53214 | Addiction (Substance Use Disorder) Counselor | 2025-05-12 |
| Shine Hearing Care Center, LLC | 9000 W Chester St Ste 100, Milwaukee, WI 53214-1372 | Hearing and Speech Clinic/Center | 2022-09-19 |
| Elizabeth Cosich-Georgetta | 1205 S 70th St, Ste 301, West Allis, WI 53214 | Counselor | 2023-08-31 |
| Breanna Dinneen Perron | 1205 S 70th St, Ste 301, West Allis, WI 53214 | Addiction (Substance Use Disorder) Counselor | 2025-04-22 |
| Kylie T Koller | 167 S 79th St, Milwaukee, WI 53214-1414 | Registered Dietitian | 2025-09-03 |
| Courtney Alynn Winzer | 11390 W Theodore Trecker Way, West Allis, WI 53214-1135 | Licensed Practical Nurse | 2021-08-13 |
| Annakaren Morelos | 6609 W Greenfield Ave, West Allis, WI 53214 | Family Medicine Physician | 2016-06-18 |
| Kenneth S Raskin · Kenneth Scott Raskin | 9000 W Chester St Ste 210, Milwaukee, WI 53214-1373 | Obstetrics & Gynecology Physician | 2006-08-24 |
| Elizabeth Frances Zaza | 160 S 80th St, Milwaukee, WI 53214-1430 | School Psychologist | 2025-06-27 |
| Sophia Ward | 151 S 84th St Bldg 1, Milwaukee, WI 53214-1456 | Mental Health Counselor | 2025-10-23 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Genesis Travis · Genesis Pakozdi | 4800 S Alma School Rd Apt 3118, Chandler, AZ 85248-5571 | Mental Health Counselor | 2025-10-14 |
| Larissa Bustamante | 14609 Westbrook Dr, Urbandale, IA 50323-2411 | Mental Health Counselor | 2016-10-12 |
| Claire E. Bustamante | 5210 Thousand Oaks Dr Ste 1203, San Antonio, TX 78233-6974 | Pediatric Nurse Practitioner | 2018-04-16 |
| Abigail Bustamante | 64 E Weldon Ave, Fresno, CA 93704-5956 | Rehabilitation Practitioner | 2017-04-24 |
| Carolina Bustamante | 2865 Logan Ave, San Diego, CA 92113-2411 | Mental Health Counselor | 2018-03-28 |
| Maria Sara Valle-Nodal · Maria Sara Valle Gonzalez | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | Student in an Organized Health Care Education/Training Program | 2025-04-21 |
| Ivan Bustamante | 180 Via Verde Ste 200, San Dimas, CA 91773-3993 | Clinical Social Worker | 2018-08-16 |
| Cristina Bustamante | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | Physician Assistant | 2020-02-13 |
| Cecilia Bustamante | 121 S 2nd St, Lovington, NM 88260-4205 | Chiropractor | 2025-07-21 |
| Genesis Valle Carreon | 1327 E El Monte Way, Dinuba, CA 93618 | School Counselor | 2025-08-01 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |