Vanessa Lee Bunting, LCMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT001545 Issued in GA

Practice address

403 Pichmond Path
Villa Rica, GA 30180-6602

Phone

(770) 255-8947

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1174716492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PICHMOND PATH",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806602",
            "telephone_number": "770-255-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PICHMOND PATH",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301806602",
            "telephone_number": "770-255-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "VANESSA",
        "middle_name": "LEE",
        "credential": "LCMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT001545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Hamilton Brown, MASTERS
• Benita N Brown, NP
• Jacqueline Brown, NP
• Lauren A Brown, LMSW
• Idris Buke, PMHNP-BC
• Brooke Cuff Burguillos
• John H Burson III, M.D.
• Katherine Bush, PHARMD
• Nickole Bush
• Phillip Sante Butch, DC

• Specialist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.