Active NPI
Dianne Louise Bunner, CRNP
- Neonatal Nurse Practitioner
- Foley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 1-088480
- Practice address
- 1613 N McKenzie St
Foley, AL 36535-2247 - Phone
- (251) 949-3710
- Fax
- (251) 949-3715
- NPI assigned
- Nov 19, 2011
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 1-088480 | AL | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | COA.12665-NP | OH |
Addresses
Primary practice location
1613 N McKenzie St
Foley, AL 36535-2247
Mailing address
1613 N McKenzie St
Foley, AL 36535-2247
Other practice location 1
11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-088480 | AL | MD | Neonatal Nurse Practitioner |
| COA.12665-NP | OH | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Foley Clinic Corp | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Foley Clinic Corp | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Current | Accepting new patients |
Locations
161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555
75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282
504 Clinton Center Dr
Ste 4300
Clinton, MS 39056
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
4566 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-4962
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- dbunner250586@direct.ccf.org
- https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Gulf Shores, AL
- NPI 1629027826
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Gulf Coast Occupational, Sports & Pain Management
- Durable Medical Equipment & Medical Supplies
- Foley, AL
- NPI 1427296029
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
dba University of Mississippi Medical Center-Grenada Specialty Clinic
- Family Medicine Physician
- Grenada, MS
- NPI 1932538527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1215204292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352247",
"telephone_number": "251-949-3710",
"fax_number": "251-949-3715"
}
],
"practiceLocations": [
{
"address_1": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44106",
"country_code": "US",
"telephone_number": "216-844-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNNER",
"first_name": "DIANNE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AL",
"license": "1-088480",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "OH",
"license": "COA.12665-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.