Active NPI
Lisa Bunce, RD
- Registered Dietitian
- Redding, CT
National Provider Identifier
1154410033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000195
- Practice address
- 104 Seventy Acre Rd
Redding, CT 06896-2706 - Phone
- (203) 938-0492
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000195 | CT | Primary |
Addresses
Primary practice location
104 Seventy Acre Rd
Redding, CT 06896-2706
Mailing address
104 Seventy Acre Rd
Redding, CT 06896-2706
Phone (203) 938-0492
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270000195CT01 | Other | CT | BCBS PROVIDER # |
| 0013881 | Other | CT | US HEALTH CARE PROVIDER # |
| 4488171 | Other | CT | AETNA HEALTH PROVIDER # |
| P818135 | Other | CT | OXFORD HEALTH PROVIDER # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154410033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SEVENTY ACRE RD",
"city": "REDDING",
"state": "CT",
"postal_code": "068962706",
"telephone_number": "203-938-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SEVENTY ACRE RD",
"city": "REDDING",
"state": "CT",
"postal_code": "068962706",
"telephone_number": "203-938-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCE",
"first_name": "LISA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "000195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "270000195CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH CARE PROVIDER #",
"identifier": "0013881",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PROVIDER #",
"identifier": "4488171",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PROVIDER #",
"identifier": "P818135",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redding, CT
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.