Individual provider Active NPI

Azalea Marie Bunch, NP

  • Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1083662787
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP114189 Issued in TX
Practice address
605 Holderrieth Blvd
Tomball, TX 77375-6445
Phone
(281) 401-7695
Fax
(281) 401-7883
NPI assigned
May 4, 2006
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 693984 TX
Nurse Practitioner 363L00000X AP114189 TX Primary

Addresses

Primary practice location

605 Holderrieth Blvd
Tomball, TX 77375-6445

Mailing address

1717 Main St
Suite 5200
Dallas, TX 75201-4612
Phone (214) 712-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000460 TX Practitioner - Nurse Practitioner 4789609066 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince May 17, 2018 Accepting new patients
Nluc PLLC CurrentSince May 17, 2018 Accepting new patients
Next Level MV LLC CurrentSince May 17, 2018 Accepting new patients
Memorial Hermann Hospital Based Physician Group CurrentSince Jul 1, 2024 Accepting new patients
Nluc PLLC CurrentSince May 17, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Nov 15, 2011 Accepting new patients
John E Pinkstaff M D PLLC CurrentSince Oct 23, 2017 Accepting new patients
Champions Urgent Care CurrentSince May 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Dec 22, 2021 Accepting new patients
Memorial Southeast Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Woodlands Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Nurse Practitioner Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Memorial Southwest Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
St. David's Carenow Urgent Care PLLC PastSince Sep 24, 2013 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Memorial City Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

4950 FM 1960 Rd W
Ste A6
Houston, TX 77069
Phone (281) 444-1711

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

193 Interstate 45 S
Ste 800
Huntsville, TX 77340
Phone (936) 570-2626

2555 Gulf Fwy S
#C1100
League City, TX 77573

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: azalea.bunch.1@22902.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1083662787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MAIN ST",
            "address_2": "SUITE 5200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014612",
            "telephone_number": "214-712-2448",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756445",
            "telephone_number": "281-401-7695",
            "fax_number": "281-401-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "AZALEA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "693984",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP114189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.