Individual provider Active NPI

Maribel Veragara Bunich, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1982478582
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019456 Issued in NC
Practice address
5800 Old Pineville Rd
Charlotte, NC 28217-4106
Phone
(866) 299-4968
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019456 NC Primary

Addresses

Primary practice location

5800 Old Pineville Rd
Charlotte, NC 28217-4106

Mailing address

715 Sardis LN
Charlotte, NC 28270-6513
Phone (704) 450-2150

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5019456NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1982478582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SARDIS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282706513",
            "telephone_number": "704-450-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 OLD PINEVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282174106",
            "telephone_number": "866-299-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNICH",
        "first_name": "MARIBEL",
        "middle_name": "VERAGARA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.