Active NPI
Tamara Lynn Bunz, PA-C
- Medical Physician Assistant
- Lincoln, NE
National Provider Identifier
1043388184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1017
- Practice address
- 600 N Cotner Blvd
Suite 101
Lincoln, NE 68505-2343 - Phone
- (402) 466-3355
- Fax
- (402) 466-3410
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1017 | NE | Primary |
Addresses
Primary practice location
600 N Cotner Blvd
Suite 101
Lincoln, NE 68505-2343
Mailing address
9625 S 67TH St
Lincoln, NE 68516-9236
Phone (402) 421-7663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75306398600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017 | NE | MD | Optometrist |
Interoperability endpoints
- https://api.platform.athenahealth.com/14572/brand/3/csg/1/fhir/r4
- tamara.bunz.1@14572.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lincoln, NE
- NPI 1891708848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043388184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 S 67TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685169236",
"telephone_number": "402-421-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N COTNER BLVD",
"address_2": "SUITE 101",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685052343",
"telephone_number": "402-466-3355",
"fax_number": "402-466-3410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNZ",
"first_name": "TAMARA",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "1017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75306398600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.