Active NPI
Amanda Champion Bunch, FNP
- Acute Care Nurse Practitioner
- Washington, NC
National Provider Identifier
1376638866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 201701
- Practice address
- 1203 Carolina Ave
Washington, NC 27889-3571 - Phone
- (252) 623-2116
- Fax
- (252) 833-0230
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 201701 | NC | Primary |
Addresses
Primary practice location
1203 Carolina Ave
Washington, NC 27889-3571
Mailing address
1203 Carolina Ave
Washington, NC 27889-3571
Phone (252) 623-2116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1376638866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 CAROLINA AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893571",
"telephone_number": "252-623-2116",
"fax_number": "252-833-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 CAROLINA AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893571",
"telephone_number": "252-623-2116",
"fax_number": "252-833-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "AMANDA",
"middle_name": "CHAMPION",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "201701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
- Leslie Brown, CSFA
- Sheila Brown
- Bryant Transportation Halo Transportation (Bryant Halo Transportation)
- Dwayne G. Bryant, M.D.
- Renika Christina Bryant, LCAS-A
- Trudy Dale Burgess, LPC
- Charlotte M Burian
- Buttry Inc. (Washington Manor)
- Catherine Roy Cabungcal, M.D.
- Sheila Louise Cadmus, L.P.N., CFT, ADM.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.