Individual provider Active NPI

Mikala Marinda Clark Bunch, RN

  • Wound Care Registered Nurse
  • New Orleans, LA
National Provider Identifier
1518725530
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
208951 Issued in LA
Practice address
5600 General de Gaulle Dr
New Orleans, LA 70131-7247
Phone
(504) 394-5991
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 208951 LA Primary
Continence Care Registered Nurse 163WC2100X 208951 LA
Ostomy Care Registered Nurse 163WX1500X 208951 LA

Addresses

Primary practice location

5600 General de Gaulle Dr
New Orleans, LA 70131-7247

Mailing address

420 Liska St
Westwego, LA 70094-2157
Phone (504) 256-1502

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
208951LAMDContinence Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1518725530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LISKA ST",
            "city": "WESTWEGO",
            "state": "LA",
            "postal_code": "700942157",
            "telephone_number": "504-256-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 GENERAL DE GAULLE DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701317247",
            "telephone_number": "504-394-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK BUNCH",
        "first_name": "MIKALA",
        "middle_name": "MARINDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "LA",
            "license": "208951",
            "primary": true
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "LA",
            "license": "208951",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "LA",
            "license": "208951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.