Individual provider Active NPI

Ashley Bunch, FNP-BC

  • Family Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1245966209
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
69106 Issued in NM
Practice address
3116 Avenida Codorniz
Santa Fe, NM 87507-5028
Phone
(505) 470-7469
NPI assigned
Aug 1, 2022
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022008535 NM
Family Nurse Practitioner 363LF0000X 69106 NM Primary

Addresses

Primary practice location

3116 Avenida Codorniz
Santa Fe, NM 87507-5028

Mailing address

3116 Avenida Codorniz
Santa Fe, NM 87507-5028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220916002539 NM Practitioner - Nurse Practitioner 5193100733 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022008535NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Care Center CurrentSince Apr 10, 2023 Accepting new patients
Newmexidoc, PA. CurrentSince Sep 1, 2022 Accepting new patients
Southwest Care Center CurrentSince Apr 10, 2023 Accepting new patients

Locations

649 Harkle Rd
Ste E
Santa Fe, NM 87505
Phone (505) 955-9454

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

901 W Alameda St
Santa Fe, NM 87501
Phone (505) 955-9454

Organizations & group practices 3

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245966209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 AVENIDA CODORNIZ",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 AVENIDA CODORNIZ",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075028",
            "telephone_number": "505-470-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "2022008535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.