Individual provider Active NPI

Eunice Gunneson, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1649353806
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101155 Issued in NC
Practice address
2797 NC Highway 55
Minuteclinic Diagnostic of North Carolina, P.C.
Cary, NC 27519
Phone
(866) 389-2727
Fax
(401) 652-9787
NPI assigned
Oct 23, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101155 NC Primary

Addresses

Primary practice location

2797 NC Highway 55
Minuteclinic Diagnostic of North Carolina, P.C.
Cary, NC 27519

Mailing address

803 Kimball Dr
Durham, NC 27705-1859
Phone (919) 667-7579

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1649353806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KIMBALL DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051859",
            "telephone_number": "919-667-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 NC HIGHWAY 55",
            "address_2": "MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA, P.C.",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27519",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNESON",
        "first_name": "EUNICE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.