BONNIE BISHOP STARK CNM NPI 1144333683

NPI Information

  • NPI: 1144333683
  • Provider Name: BONNIE BISHOP STARK, CNM
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4320 DIPLOMACY DR
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 729-3106

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NPI Details

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 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
1163W00000XRegistered Nurse23839ALASKANo
2363LX0001XNurse PractitionerObstetrics & Gynecology809ALASKAYes

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
18EA594MEDICARE ID-TYPE UNSPECIFIEDALASKA
2NP0809MEDICAIDALASKA

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: 11/21/2025

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