Individual provider Active NPI

Katrina Ann Bunch, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1982969762
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60231733 Issued in WA
Practice address
9001 N Country Homes Blvd
Spokane, WA 99218-2072
Phone
(509) 838-2531
Fax
(509) 755-6580
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 AP60231733 WA Primary

Addresses

Primary practice location

9001 N Country Homes Blvd
Spokane, WA 99218-2072

Mailing address

PO Box 3649
Suite 757
Spokane, WA 99220-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000382 WA Practitioner - Nurse Practitioner 7719133537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
Wa Pacs 2 PCGroup PAC ID 6901156538, 26 clinicians

Practice addresses (Care Compare)

1812 N Wall St
Spokane, WA 99205-4600
Phone (509) 328-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60231733WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northwest, LLC CurrentSince Sep 28, 2024 Accepting new patients
Washington Pac Services PC CurrentSince Jul 22, 2024 Accepting new patients
Wa Pacs 2 PC CurrentSince Jul 22, 2024 Accepting new patients
Rockwood Clinic PS Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

1812 N Wall St
Spokane, WA 99205
Phone (509) 325-6030

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

Interoperability endpoints

  • Direct secure messaging: ms_kbunch5@landmarkhealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1982969762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 N COUNTRY HOMES BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182072",
            "telephone_number": "509-838-2531",
            "fax_number": "509-755-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNCH",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60231733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.