Kathleen Ann Bundy, R.N.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

157720-030 Issued in WI

Practice address

1615 S Glyuna St
Bessemer, MI 49911-1814

Phone

(906) 667-0391

NPI assigned

Aug 18, 2008

Last updated

Aug 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1083860381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 S GLYUNA ST",
            "city": "BESSEMER",
            "state": "MI",
            "postal_code": "499111814",
            "telephone_number": "906-667-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S GLYUNA ST",
            "city": "BESSEMER",
            "state": "MI",
            "postal_code": "499111814",
            "telephone_number": "906-667-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDY",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704225373",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WI",
            "license": "157720-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta M Binz, PEER RECOVERY COACH
• Anita Ann Carter
• Comprehensive Counseling & Consulting LLC
• Comprehensive Counseling & Consulting, LLC
• County of Houghton (Western U.P. District Health Department & Superior Home Nursing & Hosp)
• County of Houghton Dba Western Up Health Department (Western U.P. District Health Department & Superior Home Nursing & Hosp)

• General Practice Registered Nurse in Bessemer, MI
• Providers in Bessemer, MI by specialty
• General Practice Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.