Individual provider Active NPI

Shannon D. Bunch, APRN

  • Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1649576562
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3006842 Issued in KY
Practice address
140 Bryan Blvd
Corbin, KY 40701-2775
Phone
(606) 523-2005
Fax
(606) 546-9363
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3006842 KY Primary

Addresses

Primary practice location

140 Bryan Blvd
Corbin, KY 40701-2775

Mailing address

1595 Bee Creek Rd
Corbin, KY 40701-8813
Phone (606) 528-6527

Other identifiers 1

IdentifierTypeStateIssuer
7100166150MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000271 KY Practitioner - Nurse Practitioner 2062699903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ky Urgent Care Center IncGroup PAC ID 4183983547, 8 clinicians

Practice addresses (Care Compare)

103 Keystone Dr
Suite 5
Richmond, KY 40475-7988
Phone (859) 353-8884

315 Hospital Dr
Suite 2
Barbourville, KY 40906-7917
Phone (606) 546-4060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barbourville Family Health Center CurrentSince Nov 14, 2025 Accepting new patients
Central Ky Urgent Care Center Inc CurrentSince Jan 19, 2021 Accepting new patients
Barbourville Family Health Center Current Accepting new patients
Barbourville Family Health Center CurrentSince Nov 14, 2025 Accepting new patients

Locations

215 N Allison Ave
Barbourville, KY 40906
Phone (606) 546-4166

315 Hospital Dr
Ste 2
Barbourville, KY 40906
Phone (606) 546-4060

295 Paint Lick Rd
Berea, KY 40403
Phone (859) 353-8884

140 Bryan Blvd
Corbin, KY 40701
Phone (606) 523-2005

103 Keystone Dr
Ste 5
Richmond, KY 40475
Phone (859) 353-8884

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16909/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1649576562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 BEE CREEK RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018813",
            "telephone_number": "606-528-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BRYAN BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012775",
            "telephone_number": "606-523-2005",
            "fax_number": "606-546-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "SHANNON",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3006842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100166150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.