Individual provider Active NPI

David Douglas Kunz

  • Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1508098310
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
76011 Issued in ID
Practice address
3360 Washington Pkwy Ste 2
Idaho Falls, ID 83404-8333
Phone
(208) 932-7024
Fax
(208) 904-4447
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 76011 ID Primary

Addresses

Primary practice location

3360 Washington Pkwy Ste 2
Idaho Falls, ID 83404-8333

Mailing address

6405 S 3000 E Ste 201
Salt Lake City, UT 84121-6990
Phone (801) 266-3113

Other practice location 1

934 S Main St
Layton, UT 84041-7135
Phone (801) 546-1168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20230712001604 ID Practitioner - Nurse Practitioner 3577923309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians

Practice addresses (Care Compare)

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

Hospital & facility affiliations

  • Symbii Home Health Home health agency, Chubbuck, ID, CCN 137110
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Finding Home Healthcare, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Taylor G Wright PC Podiatrist PastSince Feb 1, 2023 Accepting new patients

Locations

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 401-1048

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1508098310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S 3000 E STE 201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216990",
            "telephone_number": "801-266-3113",
            "fax_number": "801-266-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 WASHINGTON PKWY STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048333",
            "telephone_number": "208-932-7024",
            "fax_number": "208-904-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 S Main St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417135",
            "country_code": "US",
            "telephone_number": "801-546-1168",
            "fax_number": "801-544-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "DAVID",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "76011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.