Shauntrice Bumpers, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

2018030437 Issued in MO

Practice address

4000 Jennings Station Rd
Saint Louis, MO 63121-3323

Phone

(636) 485-1173

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1407032618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 VETERAN MEMORIAL PKWY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-485-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JENNINGS STATION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631213323",
            "telephone_number": "636-485-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5445 Wren Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631202441",
            "country_code": "US",
            "telephone_number": "314-775-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMPERS",
        "first_name": "SHAUNTRICE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "2018030437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "2018030437",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Wawrzyniak Bultas, CPNP-PC
• Mary Elizabeth Bulte
• Andrea Bumb, NNP-BC
• Laura A. Bumberry, PSY.D.
• William M Bumberry, PH.D.
• Zerihun A. Bunaye, M.D.
• Jamie Bunch-Sanfilippo, LPC
• Bundles of Love in Home Services
• Jill Renee Bundschuh, M.A. CCC/SLP
• Melissa Dawn Bunfill, FNP

• Home Health Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.