Provider Demographics
NPI:1033981782
Name:NUNAMAKER, CAROLINE ISABEL (MAT, ATC, LAT)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ISABEL
Last Name:NUNAMAKER
Suffix:
Gender:F
Credentials:MAT, ATC, LAT
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:ISABEL
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7913 NW TWILIGHT PL
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-6044
Mailing Address - Country:US
Mailing Address - Phone:573-424-6443
Mailing Address - Fax:
Practice Address - Street 1:6310 LEWIS RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-3200
Practice Address - Country:US
Practice Address - Phone:573-424-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-26
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer