Individual provider Active NPI

Katherine N Bunger, APRN

  • Nurse Practitioner
  • Derby, CT
National Provider Identifier
1164526646
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2954 Issued in CT
Practice address
130 Division St FL 1
Derby, CT 06418-1326
Phone
(203) 732-1257
Fax
(203) 732-2470
NPI assigned
Sep 12, 2006
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002954 CT
Nurse Practitioner 363L00000X 2954 CT Primary

Addresses

Primary practice location

130 Division St FL 1
Derby, CT 06418-1326

Mailing address

67 Maple Ave
Derby, CT 06418-1328

Other names 1

  • Katherine N Netzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040402000058 CT Practitioner - Nurse Practitioner 4385636992 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital CurrentSince Jan 1, 2015 Accepting new patients
Griffin Faculty Physicians, Inc. Adult Health CurrentSince Apr 1, 2023 Accepting new patients
Danbury Hospital CurrentSince Jan 1, 2015 Accepting new patients
Masonicare Primary Care Physicians CurrentSince Aug 1, 2012 Accepting new patients
Masonicare Behavioral Health, LLC CurrentSince Aug 1, 2012 Accepting new patients
Cardiology Associates of Fairfield County PC Past Accepting new patients

Locations

111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131

111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

130 Division St
Derby, CT 06418
Phone (203) 732-1330

130 Division St
Fl 1
Derby, CT 06418
Phone (203) 732-1257

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

67 Masonic Ave
Fl 1
Wallingford, CT 06492
Phone (203) 265-0355

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1164526646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST FL 1",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-1257",
            "fax_number": "203-732-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGER",
        "first_name": "KATHERINE",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002954",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "NETZER",
            "middle_name": "N",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.