Individual provider Active NPI

Lori L. Bond

  • Advanced Practice Midwife
  • Fort Wainwright, AK
National Provider Identifier
1104919745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
853 Issued in AK
Practice address
1060 Gaffney Rd, #7440
Commander, USA-Meddac-Ak, Attn:McUc-MMD-QM
Ft. Wainwright, AK 99703
Phone
(907) 353-5418
Fax
(907) 353-4847
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 169254 MA
Advanced Practice Midwife 367A00000X 853 AK Primary

Addresses

Primary practice location

1060 Gaffney Rd, #7440
Commander, USA-Meddac-Ak, Attn:McUc-MMD-QM
Ft. Wainwright, AK 99703

Mailing address

1060 Gaffney Rd, #7440
Commander, USA-Meddac-Ak, Attn:McUc-MMD-QM
Ft. Wainwright, AK 99703
Phone (907) 353-5418

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
853AKMDMedical Physician Assistant
169254MAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Women's Clinic, LLC PastSince May 2, 2011 Accepting new patients
Obhg Alaska, P.C. 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104919745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD, #7440",
            "address_2": "COMMANDER, USA-MEDDAC-AK, ATTN:MCUC-MMD-QM",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD, #7440",
            "address_2": "COMMANDER, USA-MEDDAC-AK, ATTN:MCUC-MMD-QM",
            "city": "FT. WAINWRIGHT",
            "state": "AK",
            "postal_code": "99703",
            "telephone_number": "907-353-5418",
            "fax_number": "907-353-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "LORI",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "169254",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AK",
            "license": "853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wainwright, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.