Active NPI
Karen Elaine Bunnell, RD LMNT LD
- Registered Dietitian
- Holdrege, NE
National Provider Identifier
1003916693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 30
- Practice address
- 1215 Tibbals St
Holdrege, NE 68949-1255 - Phone
- (308) 995-2881
- Fax
- (308) 995-3223
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 30 | NE | Primary |
| Registered Dietitian | 133V00000X | 666 | KS |
Addresses
Primary practice location
1215 Tibbals St
Holdrege, NE 68949-1255
Mailing address
PO Box 151
Oxford, NE 68967-0151
Phone (308) 824-3809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 666 | KS | MD | Registered Dietitian |
| 30 | NE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003916693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151",
"city": "OXFORD",
"state": "NE",
"postal_code": "689670151",
"telephone_number": "308-824-3809",
"fax_number": "308-824-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 TIBBALS ST",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689491255",
"telephone_number": "308-995-2881",
"fax_number": "308-995-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNNELL",
"first_name": "KAREN",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "RD LMNT LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "30",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "666",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.