Individual provider Active NPI

Ruth Bunkelmann

  • Developmental Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1902937071
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
SW3703 Issued in FL
Practice address
3401 Pga Blvd
Ste #300
Palm Beach Gardens, FL 33410
Phone
(561) 741-0000
Fax
(561) 741-0002
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW 3703 FL
Developmental Therapist 222Q00000X SW3703 FL Primary

Addresses

Primary practice location

3401 Pga Blvd
Ste #300
Palm Beach Gardens, FL 33410

Mailing address

PO Box 9168
Jupiter, FL 33468-9168
Phone (561) 741-0000

Other identifiers 1

IdentifierTypeStateIssuer
754655600MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SW 3703FLMDSocial Worker
SW3703FLMDDevelopmental Therapist

Interoperability endpoints

  • Direct secure messaging: ruthie.bunkelmann.2@646.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1902937071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9168",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334689168",
            "telephone_number": "561-741-0000",
            "fax_number": "561-741-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "address_2": "STE #300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-741-0000",
            "fax_number": "561-741-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNKELMANN",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW 3703",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SW3703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754655600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.