MELISSA ANN BUNKER (NPI# 1164575452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164575452 |
Entity Type | Individual |
Full Name | MELISSA ANN BUNKER |
Credential | FNP |
Practice Address |
880 E End Rd Homer AK 99603-7201 |
Mailing Address |
3813 Aprill Pl Homer AK 99603-7470 |
Practice Telephone | 9072262228 |
Practice Fax Number | 9072262230 |
Mailing Telephone | 9072262222 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2012-12-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 657315 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1104 | AK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | NP0090 | 05 | |
TX | 186406801 | 05 | |
TX | BCBS | 8Y1392 | 01 |
Street Address |
880 E END RD |
City | HOMER |
State | AK |
Zip Code | 99603-7201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881643682 | Daniel P Kiley | Dentist | 880 E End Rd, Homer, AK 99603 | 2006-05-09 |
1316589948 | Elizabeth Lynn Roedl | Dental Hygienist | 880 E End Rd, Homer, AK 99603-7201 | 2019-10-15 |
1528624608 | Rita Wettach | Massage Therapist | 880 E End Rd, Homer, AK 99603-7201 | 2019-05-14 |
1730645391 | Sarah Joanne Laque | Massage Therapist | 880 E End Rd, Homer, AK 99603-7201 | 2019-02-19 |
1194158774 | Christine Sophia Brubaker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2013-08-19 |
1346686797 | Jacob C Owens | Dentist | 880 E End Rd, Homer, AK 99603-7201 | 2013-05-13 |
1124367859 | Jennifer Ann Hayes | Dental Hygienist | 880 E End Rd, Homer, AK 99603-7201 | 2013-01-31 |
1104134089 | Eva Louise Michels | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2010-09-14 |
1073788949 | Osnat Kaspi | Counselor | 880 E End Rd, Homer, AK 99603-7201 | 2008-04-23 |
1225114572 | H Kirt Touchstone IIi | Dentist | 880 E End Rd, Homer, AK 99603-7201 | 2006-10-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572387 | Morgan Dwyer | Counselor | 51310 Timber Bay Ct, Homer, AK 99603 | 2020-09-09 |
1346859824 | John George Hetrick | Counselor | 51310 Timber Bay Ct., Homer, AK 99603 | 2020-07-30 |
1093352502 | Katieostrommd | Obstetrics & Gynecology | 205 W Fairview, Homer, AK 99603 | 2019-12-03 |
1023651965 | Melissa Elizabeth Malcolm | Physical Therapy Assistant | 4107 Hohe Ave, Homer, AK 99603 | 2019-10-23 |
1184143620 | Homer Birth and Wellness Center | Clinic/Center | 3902 Shelford Street, Homer, AK 99603 | 2017-09-15 |
1588913271 | Sharon Marie Gorman | Registered Nurse | 3959 Ben Walters, Homer, AK 99603 | 2012-09-10 |
1477802197 | Aldergrove Assisted Living | Community Based Residential Treatment Facility, Mental Illness | 41045 Denny Lane, Homer, AK 99603 | 2012-09-10 |
1194087551 | Stephen Michael Mueller | Pharmacist | 3858 Lake Street, Suite #5, Lakeside Mall, Homer, AK 99603 | 2012-06-12 |
1962778001 | Homer Dental Center Inc | Dentist | 4014 Lake St., Ste 210, Homer, AK 99603 | 2012-03-22 |
1346544368 | William R Easton | General Practice | 2495 Bayridge Rd, Homer, AK 99603 | 2011-01-05 |
Find all providers in zip 99603 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396198388 | Lisa Zatz | Nurse Practitioner | 178 E Bunnell Ave, Homer, AK 99603-7843 | 2016-07-14 |
1720101132 | Donna Marie Fenske | Nurse Practitioner | 426 E Bayview Ave, Homer, AK 99603-7117 | 2007-04-09 |
1316916596 | Rebecca L Noble | Nurse Practitioner | 880 East End Rd, Seldovia Village Tribe, Homer, AK 99603 | 2006-03-17 |
1588632483 | Valerie A Wills | Nurse Practitioner | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2006-03-08 |
1871599126 | Carol Lynn Klamser | Nurse Practitioner | 4141 Pennock St, Homer, AK 99603-7223 | 2005-06-22 |
1144758004 | Anna Jeanne Williams | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-05-23 |
1952784209 | Courtney Brooks | Nurse Practitioner | 912 W Main St, Homer, LA 71040-3328 | 2015-07-06 |
1811304074 | Ekara N Wafer-mendenhall | Nurse Practitioner | 620 E College St, Homer, LA 71040-3202 | 2014-07-18 |
1194158774 | Christine Sophia Brubaker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2013-08-19 |
1083902027 | Lisa A Olson-gugerty | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-07-12 |
Find all providers in HOMER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.