Bunker Hill Staffing LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

1518238484 Issued in TN

Legal business name

BUNKER HILL STAFFING LLC

Practice address

1300 Bunker Hill Rd Ste a
Cookeville, TN 38506

Phone

(931) 528-7312

Fax

(931) 528-7377

NPI assigned

Oct 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Connie Cates

Title

President

Phone

(931) 528-7312

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1063964799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BUNKER HILL RD STE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064096",
            "telephone_number": "931-528-7312",
            "fax_number": "931-528-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BUNKER HILL RD STE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "38506",
            "telephone_number": "931-528-7312",
            "fax_number": "931-528-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNKER HILL STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "CATES",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-528-7312"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "1518238484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Bulow, C.P.
• Haleigh Grace Bumbalough, LPN
• Joyce Bumbalough, FNP
• Holly Marie Bundrant, PH.D., R.D., L.D.N.
• Bunker Hill Staffing Urgent Care LLC
• Breanna Burchett, PTA
• Bethany Erin Burgess
• Melissa D Burgess, NP
• Preston Burke, FNP-C

• Adult Health Nurse Practitioner in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.