Corinne Roberta Bunch, NR

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

363849 Issued in CA

Practice address

6837 Ridgeway Dr
Pollock Pines, CA 95726-9503

Phone

(530) 647-2647

Fax

(530) 644-3003

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760698690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 RIDGEWAY DR",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957269503",
            "telephone_number": "530-647-2647",
            "fax_number": "530-644-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6837 RIDGEWAY DR",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957269503",
            "telephone_number": "530-647-2647",
            "fax_number": "530-644-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "CORINNE",
        "middle_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "NR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "363849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPS016570",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RVN004730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Aveni, DC
• Lauren Baasch, RADT-I
• Lindsey Michelle Christman, BCBA
• Paula Conriquez, IBCLC
• Deepak Prafulla Dash, RPH
• James Louis Dawson, DDS
• Victoria Douglas, CMT

• All providers in Pollock Pines, CA
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.