Bonnie Lou Stites, ARDMS

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

107390

Practice address

RR 2 Box 180B
Sallisaw, OK 74955-8901

Phone

(918) 774-0004

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124051222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 180B",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749558901",
            "telephone_number": "918-774-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 180B",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749558901",
            "telephone_number": "918-774-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITES",
        "first_name": "BONNIE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "107390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Stewart
• Sarah Coleman Stewart, LMSW-P
• Jessi Michaela Stidham, DPT
• Stigler Health and Wellness Center, Inc Sequoyah County
• Crystal Stimac
• Richard Darren Stites, MS,
• Bonnie Sue Stone
• Tiffiney Swearingen, RN
• Sweet Town LLC
• Tallgrass Hospice Inc

• Sonography Radiologic Technologist in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Sonography Radiologic Technologist in Oklahoma

• 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.