Active NPI
Barbara Jane Kunnen, MS, RN, FNP-C
- Family Nurse Practitioner
- Bourbon, IN
National Provider Identifier
1063710937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71003229A
- Practice address
- 114 N Washington St
Bourbon, IN 46504-1623 - Phone
- (574) 335-7850
- Fax
- (574) 335-0755
- NPI assigned
- Mar 2, 2011
- Last updated
- Dec 31, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71003229A | IN | Primary |
Addresses
Primary practice location
114 N Washington St
Bourbon, IN 46504-1623
Mailing address
707 E Cedar St
Ste 200
South Bend, IN 46617-2057
Phone (574) 335-8700
Other practice location 1
232 S Main St
Culver, IN 46511-1648
Phone (574) 335-7780
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000932418 | Other | IN | BCBS LSC |
| P01574992 | Other | IN | RR MEDICARE BOURBON |
| 000000701100 | Other | IN | BCBS -- BOURBON FAM |
| 201015340 | Medicaid | IN |
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
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
Interoperability endpoints
- barbara.kunnen.1@23284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1063710937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 E CEDAR ST",
"address_2": "STE 200",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172057",
"telephone_number": "574-335-8700",
"fax_number": "574-335-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N WASHINGTON ST",
"city": "BOURBON",
"state": "IN",
"postal_code": "465041623",
"telephone_number": "574-335-7850",
"fax_number": "574-335-0755"
}
],
"practiceLocations": [
{
"address_1": "232 S Main St",
"address_purpose": "LOCATION",
"city": "Culver",
"state": "IN",
"postal_code": "465111648",
"country_code": "US",
"telephone_number": "574-335-7780",
"fax_number": "574-335-0730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNNEN",
"first_name": "BARBARA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "MS, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71003229A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LSC",
"identifier": "000000932418",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE BOURBON",
"identifier": "P01574992",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS -- BOURBON FAM",
"identifier": "000000701100",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201015340",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bourbon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.