Annelise Bunch, MS, CNS, LDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX6397 Issued in MD

Practice address

1625 NW Awbrey Rd
Bend, OR 97703-1832

Phone

(541) 316-8157

NPI assigned

Mar 18, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1609635952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 NW AWBREY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031832",
            "telephone_number": "541-316-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 NW AWBREY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031832",
            "telephone_number": "541-316-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "ANNELISE",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX6397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moon Marcelle Bukas, LMT
• Brian John Bulemore, LPC, NCC, CADC-III
• Jeffrey David Bulkley, D.O.
• Meaghan Rebecca Bull, LMT
• Tammy A Bull, M.D.
• Bruce W Bundy, PSYD
• Dennis Dean Bundy Jr.
• Jaime Bunger
• Michelle Marie Bunkers
• Justin Bunkowske

• Nutritionist in Bend, OR
• Providers in Bend, OR by specialty
• Nutritionist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.