Active NPI
Linda Lucile Bjork, CFM
- Prosthetic/Orthotic Supplier
- Bonney Lake, WA
National Provider Identifier
1114195328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Practice address
- 21505 145TH St E
Bonney Lake, WA 98391-7538 - Phone
- (360) 897-8398
- Fax
- (360) 897-8684
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | WA | Primary |
Addresses
Primary practice location
21505 145TH St E
Bonney Lake, WA 98391-7538
Mailing address
21505 145TH St E
Bonney Lake, WA 98391-7538
Phone (360) 897-8398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9047101 | Medicaid | WA |
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 |
|---|---|---|---|
| 601181758 | WA | MD | Prosthetic/Orthotic Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1114195328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21505 145TH ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917538",
"telephone_number": "360-897-8398",
"fax_number": "360-897-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21505 145TH ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917538",
"telephone_number": "360-897-8398",
"fax_number": "360-897-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORK",
"first_name": "LINDA",
"middle_name": "LUCILE",
"credential": "CFM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9047101",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.