Debra Ann Bundrum, STUDENT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

8403 Meer Way Apt 101
Kissimmee, FL 34747-3083

Phone

(941) 504-4162

NPI assigned

May 25, 2023

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1730871831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 MEER WAY APT 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347473083",
            "telephone_number": "941-504-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 MEER WAY APT 101",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347473083",
            "telephone_number": "941-504-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRUM",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shernile Bullock, LMT
• Natividad Jesusa Bulosan
• Bulwark Behavioral Health Services LLC
• Bumblebee ABA Inc (Bumblebee ABA)
• Bumblebee ABA Inc
• Anissa Lenora Burchette
• Kathryn Burgess, BCBA
• Maria Esther Burgos Figueroa, MA ED.
• Iliana Marie Burgos Rodriguez I, DC
• Carmen Joannie Burgos

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.