Individual provider Active NPI

Kathy A Bunde

  • Day Training/Habilitation Specialist
  • Crown Point, IN
National Provider Identifier
1508939356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
10615 Maine Dr
Crown Point, IN 46307-7073
Phone
(219) 662-9409
Fax
(219) 662-9409
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Primary

Addresses

Primary practice location

10615 Maine Dr
Crown Point, IN 46307-7073

Mailing address

10615 Maine Dr
Crown Point, IN 46307-7073
Phone (219) 662-9409

Other names 1

  • Mrs. Kathy A Bunde Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508939356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 MAINE DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077073",
            "telephone_number": "219-662-9409",
            "fax_number": "219-662-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 MAINE DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077073",
            "telephone_number": "219-662-9409",
            "fax_number": "219-662-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDE",
        "first_name": "KATHY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BUNDE",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "D.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Crown Point, IN

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.

Verify at the official NPI Registry.