Emily Nelson Bunn, OTR/L – Occupational Therapist

Key facts

NPI: 1891040671
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 4638
Practice address: 8972 Elderberry CV
Cordova, TN 38016-9504
Phone: (901) 309-3077
NPI assigned: Jul 18, 2012
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Brightsong, LLC Speech-Language Pathologist · Cordova, TN · NPI 1952613440

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Brightsong, LLC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	4638		Yes

Addresses

Primary practice location

8972 Elderberry CV
Cordova, TN 38016-9504

Mailing address

8972 Elderberry CV
Cordova, TN 38016-9504

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 18, 2012.

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1891040671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8972 ELDERBERRY CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380169504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8972 ELDERBERRY CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380169504",
            "telephone_number": "901-309-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "EMILY",
        "middle_name": "NELSON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Mallory Bruce, MA, CF-SLP
Tara Brunson
Sheryl Bryant
Jun Tarcisio Buenconsejo, PT
Building a Better You Transportation, Inc
Allton Louis Burgess, DDS
W L Burgess,Jr, DDS
Gloria Ann Burns, MD
Angelina Burton, MS, LPC-MHSP-T
Fallon Burton

All providers in Cordova, TN · Occupational Therapist in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.