DANIELLE D BUNDRENT DNP NPI 1588105746

NPI Information

NPI: 1588105746
Provider Name: DANIELLE D BUNDRENT, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
315 E BROADWAY FL 4
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-2500
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Danielle D Bundrent, DNP is a family nurse practitioner in Louisville, KY. Danielle D Bundrent, DNP NPI is 1588105746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

315 E BROADWAY FL 4
LOUISVILLE, KY
ZIP 40202-700
Phone: (502) 629-2500
Fax: (502) 629-2055

The NPI 1588105746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 11/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	363LF0000X	Nurse Practitioner	Family	3011198	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50125555	OTHER	KENTUCKY	PASSPORT
2	7100471000	MEDICAID	KENTUCKY
3	000001077743	OTHER	KENTUCKY	ANTHEM
4	277495	OTHER	KENTUCKY	SIHO
5	300002098	OTHER	INDIANA	MEDICAID
6	K222220	OTHER	KENTUCKY	MEDICARE
7	300002098	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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