Active NPI
Betty Louise Bunce, CCC-SLP
- Speech-Language Pathologist
- Lawrence, KS
National Provider Identifier
1053458448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00123
- Practice address
- 1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534 - Phone
- (785) 864-4690
- Fax
- (785) 864-5094
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00123 | KS | Primary |
Addresses
Primary practice location
1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534
Mailing address
1200 Sunnyside Ave
2101 Haworth Hall
Lawrence, KS 66045-7534
Phone (785) 864-4690
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00123 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053458448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SUNNYSIDE AVE",
"address_2": "2101 HAWORTH HALL",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457534",
"telephone_number": "785-864-4690",
"fax_number": "785-864-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SUNNYSIDE AVE",
"address_2": "2101 HAWORTH HALL",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660457534",
"telephone_number": "785-864-4690",
"fax_number": "785-864-5094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCE",
"first_name": "BETTY",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "00123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
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.