Active NPI
Tamika Bunnell
- Home Health Aide
- Tamarac, FL
National Provider Identifier
1821627779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3900 W Commercial Blvd # 209
Tamarac, FL 33309-3328 - Phone
- (813) 812-2036
- Fax
- (888) 752-9230
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3900 W Commercial Blvd # 209
Tamarac, FL 33309-3328
Mailing address
37 Hutchinson St NE Unit 501
Atlanta, GA 30307-4605
Phone (404) 563-4982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Home Care Agency LLC | Current | Accepting new patients |
Locations
3900 W Commercial Blvd
#209
Tamarac, FL 33309
Phone (813) 812-2036
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Tamarac, FL
- NPI 1053940858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1821627779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 HUTCHINSON ST NE UNIT 501",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303074605",
"telephone_number": "404-563-4982",
"fax_number": "888-752-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W COMMERCIAL BLVD # 209",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333093328",
"telephone_number": "813-812-2036",
"fax_number": "888-752-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNNELL",
"first_name": "TAMIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.