Kim Lisa Brunnet, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP018248 Issued in PA

Practice address

360 Route 73 S
Marlton, NJ 08053-2004

Phone

(186) 638-9272

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guffanti Wound Associates PLLCGroup PAC ID 7517336738, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kbrunnett3362165@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guffanti Wound Associates PLLC

  • Acute Care Nurse Practitioner
  • Wayne, PA
  • NPI 1043935414
  Medicare reassignment Care Compare group NPD
• Geriatrics Associates of New Jersey LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • East Windsor, NJ
  • NPI 1073819512
  Medicare reassignment NPD
• Abington Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Warminster, PA
  • NPI 1881864635
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1295243715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TAYLORSVILLE RD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190671316",
            "telephone_number": "267-566-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 73 S",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532004",
            "telephone_number": "186-638-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNET",
        "first_name": "KIM",
        "middle_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00797800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idee Brown, MD
• Katherine Nellie Brown, DPT
• Lauren Brown, CMA
• Stacie Brown
• Taylor Brubaker
• Bryan C Russell
• Alicia Yvonne Bryant-Rodgers, CRNP
• BSH Health NJ, P.C.
• Stefani Buck-Bivens, MS, CCC-SLP
• Lidiya Bukenova

• Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.