Individual provider Active NPI

Holly Bunn

  • Adult Health Clinical Nurse Specialist
  • Searcy, AR
National Provider Identifier
1740731660
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
S002309 Issued in AR
Practice address
41 Harding Dr
Searcy, AR 72143-5704
Phone
(501) 230-5688
NPI assigned
Oct 14, 2016
Last updated
Oct 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X S002309 AR Primary

Addresses

Primary practice location

41 Harding Dr
Searcy, AR 72143-5704

Mailing address

41 Harding Dr
Searcy, AR 72143-5704
Phone (501) 230-5688

Other names 1

  • Mrs. Holly Bunn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20190827002009 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 1355681602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

904 E Race Ave
Searcy, AR 72143-4653
Phone (501) 279-1512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Care Clinic, PLLC CurrentSince Jul 6, 2019 Accepting new patients
Nomad Family Medical LLC PastSince Jan 22, 2019 Accepting new patients

Locations

904 E Race Ave
Searcy, AR 72143
Phone (501) 279-1512

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1740731660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HARDING DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435704",
            "telephone_number": "501-230-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HARDING DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435704",
            "telephone_number": "501-230-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S002309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BUNN",
            "prefix": "MRS.",
            "credential": "APRN, CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.