Amy Keith Bunge, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7717 Issued in NC

Practice address

4328 Bland Rd
Raleigh, NC 27609-6125

Phone

(919) 341-3894

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Aspen Center

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1730212416
  NPD (past)
• The Aspen Center Inc.

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1417080607
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1720267404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096125",
            "telephone_number": "919-341-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 BLAND RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096125",
            "telephone_number": "919-341-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGE",
        "first_name": "AMY",
        "middle_name": "KEITH",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7717",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Denise Bunch, PHD
• Chanel Bunch, LMBT
• Tynia Michelle Bunch
• Denise Quirk Bundick, LCSW
• William Thomas Bundick Jr., PH.D.
• Elise Rachelle Bunn, PA
• Kellie Bunn, PA-C
• Raina Goldstein Bunnag, MPH, RD, LDN
• Elizabeth Newcomb Bunt, FNP
• Tanejah M Buntley

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.