BONNIE BISHOP STARK CNM NPI 1144333683

NPI Information

NPI: 1144333683
Provider Name: BONNIE BISHOP STARK, CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
4320 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 729-3106
Get Directions

Bonnie Bishop Stark, CNM is an obstetrics and gynecology nurse practitioner in Anchorage, AK. Bonnie Bishop Stark, CNM NPI is 1144333683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4320 DIPLOMACY DR
ANCHORAGE, AK
ZIP 99508-925
Phone: (907) 729-3106
Fax: (907) 729-3170

The NPI 1144333683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 1/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		23839	ALASKA	No
2	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	809	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8EA594	MEDICARE ID-TYPE UNSPECIFIED	ALASKA
2	NP0809	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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