Sophie Lavone Bunch

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2020007954 Issued in MO

Practice address

1328 NE Grand Ave
Lees Summit, MO 64086-8441

Phone

(620) 755-2088

NPI assigned

Mar 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sophie Lavone Simon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1609525211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 NE GRAND AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640868441",
            "telephone_number": "620-755-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 NE GRAND AVE",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640868441",
            "telephone_number": "620-755-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "SOPHIE",
        "middle_name": "LAVONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2020007954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssimon4@kumc.edu",
            "affiliation": "N",
            "address_1": "1328 NE Grand Ave",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640868441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "SIMON",
            "middle_name": "LAVONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sally R Buckholz
• Buettner-Bresee Group Home II
• Building Solutions MJM
• Emma Grace Bulson
• Mary Bultmann, LPC
• Shelley Louise Bunton, MS, CCC-SLP
• Paige L Burau, DPT
• Raymond Thomas Burchfield, M.S.
• Megan Burdge, RBT
• Rebecca C Burfeind, MD

• Registered Nurse in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.