DAWN BUNCH - NPI NUMBER 1528394913

Summary

Provider Name: DAWN BUNCH

NPI Number: 1528394913

Clasification: Art Therapist (221700000X)

Address:
914 E BROADWAY
2ND FLOOR
LOUISVILLE, KY
ZIP 40204

Phone Number: (502) 589-8600



Detailed Information

Dawn Bunch is an art therapist in Louisville, KY. The provider is (1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change. The assigned NPI number for this provider is 1528394913 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

914 E BROADWAY
2ND FLOOR
LOUISVILLE, KY
ZIP 40204-037
Phone: (502) 589-8600
Fax: (502) 589-8771

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 221700000X Art Therapist 0153 KY Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1528394913 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name BUNCH The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name DAWN The first name of the provider, if the provider is an individual.
5 Provider First Line Business Practice Location Address 914 E BROADWAY The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address 2ND FLOOR The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name LOUISVILLE The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name KY The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 402041037 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 5025898600 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 5025898771 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 10/20/2009 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 10/20/2009 The date that a record was last updated or changed.
15 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
16 Healthcare Provider Taxonomy Code 1 221700000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
17 Provider License Number 1 0153 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
18 Provider License Number State Code 1 KY The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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