Zivago Z Bunting, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R150087 Issued in MD

Practice address

12301 Old Columbia Pike Ste 104
Silver Spring, MD 20904-1619

Phone

(240) 444-6110

Fax

(949) 695-3130

NPI assigned

Sep 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Zivago Bunting Professional name

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Oak Tree Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1467153536

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1659093763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 OLD COLUMBIA PIKE STE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041619",
            "telephone_number": "240-444-6110",
            "fax_number": "949-695-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 OLD COLUMBIA PIKE STE 104",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041619",
            "telephone_number": "240-444-6110",
            "fax_number": "949-695-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTING",
        "first_name": "ZIVAGO",
        "middle_name": "Z",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R150087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZIVAGO",
            "last_name": "BUNTING",
            "prefix": "DR.",
            "credential": "DNP, APRN, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael William Bulger, PH.D.
• David Michael Bullock, PT
• Foziya Negash Bulti
• Mariatu Bundu
• Elynne T. Bunnag
• Jesus A Burbano, MD
• Madeeja Burch
• Robin Burch, GNA
• Steven A. Burger, M.D.
• Brittany Burgess

• Psychiatric/Mental Health Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.