Active NPI
Alisun Cummings Bonville, N.D.
- Naturopath
- Bozeman, MT
National Provider Identifier
1093044968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- AHC-NAT-LIC-801
- Practice address
- 962 Stoneridge Dr Ste 2
Bozeman, MT 59718-7083 - Phone
- (406) 586-2626
- Fax
- (406) 586-2676
- NPI assigned
- Dec 23, 2009
- Last updated
- Oct 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1711 | OR | |
| Naturopath | 175F00000X | AHC-NAT-LIC-801 | MT | Primary |
Addresses
Primary practice location
962 Stoneridge Dr Ste 2
Bozeman, MT 59718-7083
Mailing address
PO Box 10651
Bozeman, MT 59719-0651
Phone (503) 853-5273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AHC-NAT-LIC-801 | MT | MD | Naturopath |
| 1711 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Ridgeline Counseling Services, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Clinical Social Worker
- Bozeman, MT
- NPI 1982002713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1093044968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10651",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597190651",
"telephone_number": "503-853-5273",
"fax_number": "406-586-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 STONERIDGE DR STE 2",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187083",
"telephone_number": "406-586-2626",
"fax_number": "406-586-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONVILLE",
"first_name": "ALISUN",
"middle_name": "CUMMINGS",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "1711",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "MT",
"license": "AHC-NAT-LIC-801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.