Organization Active NPI

Karen Buntin, FNP, LTD

  • Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1982823019
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP 1119 Issued in AZ
Legal business name
KAREN BUNTIN, FNP, LTD
Practice address
3850 N US Highway 89
Prescott, AZ 86301-8428
Phone
(928) 445-5339
Fax
(928) 445-3644
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Karen Buntin, FNP
Title
President
Phone
(928) 771-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP 1119 AZ Primary

Addresses

Primary practice location

3850 N US Highway 89
Prescott, AZ 86301-8428

Mailing address

PO Box 2502
Prescott, AZ 86302-2502
Phone (928) 771-8200

National Provider Directory

National Provider Directory

Locations

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1982823019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2502",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863022502",
            "telephone_number": "928-771-8200",
            "fax_number": "928-771-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 N US HIGHWAY 89",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018428",
            "telephone_number": "928-445-5339",
            "fax_number": "928-445-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN BUNTIN, FNP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "BUNTIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-771-8200",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP 1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.