LISA DAWN BUNKER (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1831567197
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
87 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in UT
Provider Addresses for LISA DAWN BUNKER (MS, CCC-SLP)
978 W. VILLAGE BEND LN.
MIDVALE, UT 84047
Phone: (928) 713-9593
Type: Mailing
500 FOOTHILL DR
SALT LAKE CITY, UT 841480001
Phone: (801) 582-1565
Type: Location
19389 N 59TH AVE
GLENDALE, AZ 853086500
Phone: (623) 537-6000
Fax: (623) 537-6014
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231215002861 | I | Qualified Speech Language Pathologist | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Family Practice | IL | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | IL | |
| - | AZ | |
| Qualified Speech Language Pathologist | AZ | |
| O P T O M E T R Y | WI | |
| Qualified Speech Language Pathologist | IL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | NM |
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