LISA K BUNCH (NPI# 1588966998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588966998 |
| Entity Type | Individual |
| Full Name | LISA K BUNCH |
| Credential | NP |
| Practice Address |
1633 N Capitol Ave Ste 322 Indianapolis IN 46202-1476 |
| Mailing Address |
250 N Shadeland Ave Ste 130 - Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3179622929 |
| Practice Fax Number | 3179622070 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2015-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71003487A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28092723A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201005500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1215244454 | Lisa Smith Bunch | Respiratory Therapist, Registered | 115 E Main St, Office 18, Williamston, NC 27892-2492 | 2010-09-09 |
| Street Address |
1633 N CAPITOL AVE STE 322 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537946 | Michele L. Saysana | Pediatrics | 1633 N Capitol Ave, Ste 236, Indianapolis, IN 46202-1261 | 2005-06-09 |
| 1740801711 | Eric Joseph Cooper | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2020-05-01 |
| 1922654227 | Allison Garrison | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-08-13 |
| 1811553662 | Heather R Martin | Nurse Practitioner | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-05-17 |
| 1902462286 | Anne Merrylees Dersch | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2019-05-13 |
| 1245720986 | Andrew Adams | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2018-05-17 |
| 1801385059 | Allison Kade Fox | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Methodist Tower, Ste 640, Indianapolis, IN 46202-1281 | 2018-05-03 |
| 1467958785 | Omar Bari | Student in an Organized Health Care Education/Training Program | 1633 N Capitol Ave, Indianapolis, IN 46202-1261 | 2018-04-04 |
| 1487191276 | Angela Rhea Boyle | Nurse Practitioner | 1633 N Capitol Ave, Suite 322, Indianapolis, IN 46202-1261 | 2017-01-31 |
| 1598200156 | Emily Huesgen | Pharmacist | 1633 N Capitol Ave, Suite 300, Indianapolis, IN 46202-1261 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852727 | Carmen Lagaye Bogle | Nurse Practitioner | 1050 W 72nd St, Indianapolis, IN 46260-4037 | 2019-03-25 |
| 1861991176 | Kimberly S Houchens | Nurse Practitioner | 135 N Pennsylvania St Ste 1610, Indianapolis, IN 46204-2448 | 2018-02-02 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1194259879 | Bahtrena Rogers | Nurse Practitioner | 9302 Budd Run Dr, Indianapolis, IN 46250-1322 | 2017-04-19 |
| 1538512090 | Martita Rolanda Meeks | Nurse Practitioner | 7240 Shadeland Sta Ste 300, Indianapolis, IN 46256-3944 | 2016-07-20 |
| 1194177022 | Stephanie R Young | Nurse Practitioner | 8360 S Emerson Ave Ste 100, Indianapolis, IN 46237-8746 | 2016-07-03 |
| 1114394426 | Tamara Sue Roberts | Nurse Practitioner | 7911 N Michigan Road, Indianapolis, IN 46268-1360 | 2015-08-24 |
| 1023426780 | Lesli White | Nurse Practitioner | 1 Allison Way, Indianapolis, IN 46222-3271 | 2014-07-25 |
| 1386070274 | Kimberly Demasie | Nurse Practitioner | 7520 E 88th Pl, Suite 101, Indianapolis, IN 46256-1253 | 2013-09-24 |
| 1669788204 | Shannon L Childers-page | Nurse Practitioner | 1701 N Senate Blvd # A5231, Indianapolis, IN 46202-1239 | 2010-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on LISA K BUNCH.
| 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.