Active NPI
Gail Evelyn Bunce, ADULT NP, BC
- Adult Health Nurse Practitioner
- Providence, RI
National Provider Identifier
1427185792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NPP18642
- Practice address
- 208 Collyer St
Providence, RI 02904-1560 - Phone
- (401) 793-2355
- Fax
- (401) 793-7624
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NPP18642 | RI | Primary |
Addresses
Primary practice location
208 Collyer St
Providence, RI 02904-1560
Mailing address
119 Kiwanee Rd
Warwick, RI 02888-4040
Phone (401) 463-5312
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPP18642 | Other | RI | NP STATE LICENSE |
| RO5264 | Other | RI | UNITED HEALTH PLAN |
| 406995 | Other | RI | BLUE CHIP |
| 2767-8 | Other | RI | BLUE CROSS BLUE SHIELD |
| 9002767 | Medicaid | RI |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPP18642 | RI | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427185792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 KIWANEE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028884040",
"telephone_number": "401-463-5312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 COLLYER ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029041560",
"telephone_number": "401-793-2355",
"fax_number": "401-793-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCE",
"first_name": "GAIL",
"middle_name": "EVELYN",
"name_prefix": "Ms.",
"credential": "ADULT NP, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "RI",
"license": "NPP18642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP STATE LICENSE",
"identifier": "NPP18642",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH PLAN",
"identifier": "RO5264",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406995",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2767-8",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9002767",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.