DANIELLE D BUNDRENT


Address: 315 E Broadway Fl 4, Louisville, KY 40202-3700
Phone: 5026292500

DANIELLE D BUNDRENT (NPI# 1588105746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588105746
Entity Type Individual
Full Name DANIELLE D BUNDRENT
Credential DNP
Practice Address 315 E Broadway Fl 4
Louisville
KY 40202-3700
Mailing Address Po Box 776347
Chicago
IL 60677-6347
Practice Telephone 5026292500
Practice Fax Number 5026292055
Mailing Telephone 5025889490
Mailing Fax Number 5022725116
Enumeration Date 2017-03-20
Last Update Date 2017-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3011198 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000001077743 01
KY SIHO 277495 01
IN MEDICAID 300002098 01
IN 300002098 05
KY PASSPORT 50125555 01
KY MEDICARE K222220 01
KY 7100471000 05

Office Location

Street Address 315 E BROADWAY FL 4
City LOUISVILLE
State KY
Zip Code 40202-3700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619946159 Khuda Dad Khan Internal Medicine 315 E Broadway Fl 4, Louisville, KY 40202 2006-03-16
1487110003 Taura Danielle Webb Nurse Practitioner 315 E Broadway Fl 4, Louisville, KY 40202 2019-02-19
1376018366 Vivien C Rosenberger Nurse Practitioner 315 E Broadway Fl 4, Louisville, KY 40202-3700 2018-10-05
1225546377 Ruth Nicole Crawford Nurse Practitioner 315 E Broadway Fl 4, Louisville, KY 40202-3700 2018-01-10
1760835664 Kimberly Castle Social Worker 315 E Broadway Fl 4, Louisville, KY 40202-3700 2016-07-15
1003230731 Victoria Jean Shipman Nurse Practitioner 315 E Broadway Fl 4, Louisville, KY 40202-3700 2014-02-17
1679816920 Dan Ishihara Radiology 315 E Broadway Fl 4, Louisville, KY 40202 2013-04-04
1194077818 Cortney K Montgomery Nurse Practitioner 315 E Broadway Fl 4, Louisville, KY 40202 2012-10-04
1609123363 Rebecca Ann Reichert Nurse Practitioner 315 E Broadway Fl 4, Louisville, KY 40202-3700 2012-08-12
1659534170 Adam Drew Lye Internal Medicine 315 E Broadway Fl 4, Louisville, KY 40202 2008-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972129682 Garvit Chhabra Student in an Organized Health Care Education/Training Program 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 2020-06-18
1396367009 Richele Williams Student in an Organized Health Care Education/Training Program 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 2020-05-15
1942822028 Ahmed Khaled Saleh Student in an Organized Health Care Education/Training Program 500 S Jackson St, Room 305, Louisville, KY 40202 2020-05-12
1457972952 Mir Ali Raza Talpur Student in an Organized Health Care Education/Training Program 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 2020-05-06
1316575533 Abigail Hatfield Student in an Organized Health Care Education/Training Program Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 2020-04-01
1851929210 Madison Harmon Student in an Organized Health Care Education/Training Program Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 2020-03-31
1184252041 Marianna Weaver Student in an Organized Health Care Education/Training Program 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 2020-03-27
1700347341 Charles Jake Sadle Student in an Organized Health Care Education/Training Program Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 2019-03-27
1437616794 Paladina Health, LLC Family Medicine Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 2019-02-22
1205393568 Paladina Health, LLC Family Medicine Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 2019-02-22
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023618535 Pamela Nicole Kinney Nurse Practitioner 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 2020-10-26
1457950883 Tetteh Narteh Nurse Practitioner 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 2020-10-16
1114525540 Richard A Anane Nurse Practitioner 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 2020-10-16
1427656081 Elma Mustic Nurse Practitioner 9714 Boxford Way, Louisville, KY 40242-2305 2020-10-15
1679171318 Cassandra Jane Lee Nurse Practitioner 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 2020-10-14
1942817762 Merritt Borders Nurse Practitioner 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 2020-09-25
1114533536 Lyssa Alexandra Miller Nurse Practitioner 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 2020-09-21
1174138713 Paola Cristina Maldonado Nurse Practitioner 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 2020-09-10
1033722525 Bynisha Robertson Nurse Practitioner 5312 Sprigwood Ln, Louisville, KY 40291-1135 2020-08-25
1154931202 Heather M Karem Nurse Practitioner 10207 Hartley Dr, Louisville, KY 40223-2735 2020-08-04
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Competitor

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City LOUISVILLE
Zip Code 40202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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