Individual provider Active NPI

Tamara C Bunn, M.D.

  • Family Medicine Physician
  • Yelm, WA
National Provider Identifier
1609829910
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00040895 Issued in WA
Practice address
201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735
Phone
(360) 458-7761
NPI assigned
May 18, 2006
Last updated
Oct 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00040895 WA Primary

Addresses

Primary practice location

201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735

Mailing address

201 Tahoma Blvd
Suite 102
Yelm, WA 98597-7735
Phone (360) 458-7761

Other identifiers 3

IdentifierTypeStateIssuer
5192BUOtherWAREGENCE
0158682OtherWAL&I
8298036MedicaidWA

Other names 1

  • Tamara Camis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100107000140 WA Practitioner - Family Practice 5991846362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yelm Family Medicine, PLLCGroup PAC ID 6608767280, 11 clinicians

Practice addresses (Care Compare)

201 Tahoma Blvd
Unit 102
Yelm, WA 98597-7735
Phone (360) 458-7761

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00040895WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yelm Family Medicine, PLLC Family Medicine CurrentSince Aug 1, 2002 Accepting new patients

Locations

201 Tahoma Blvd
Unit 102
Yelm, WA 98597
Phone (360) 458-7761

Interoperability endpoints

  • Direct secure messaging: tamara.bunn@yfm.directbygreenway.com
  • Direct secure messaging: tbunn94917@wm.providencedirect.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1609829910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "SUITE 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "SUITE 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "TAMARA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00040895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "5192BU",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0158682",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8298036",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "CAMIS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yelm, WA

Sources for this page

Verify at the official NPI Registry.