Active NPI
Christinejoy Cunanan Bilbao, CEP
- Clinical Exercise Physiologist
- Anchorage, AK
National Provider Identifier
1184964199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- C153756
- Practice address
- 4201 Tudor Centre Dr
Anchorage, AK 99508-5904 - Phone
- (907) 729-5642
- NPI assigned
- Feb 28, 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 007985 | NY | |
| Clinical Exercise Physiologist | 224Y00000X | C153756 | AK | Primary |
Addresses
Primary practice location
4201 Tudor Centre Dr
Anchorage, AK 99508-5904
Mailing address
9459 Morningside Loop Unit a
Anchorage, AK 99515-4273
Phone (907) 306-3517
Other names 1
- Christinejoy Solidum Cunanan
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 |
|---|---|---|---|
| C153756 | AK | MD | Clinical Exercise Physiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Assisted Living Home, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility (Mental Illness)
- Anchorage, AK
- NPI 1689472797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1184964199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9459 MORNINGSIDE LOOP UNIT A",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995154273",
"telephone_number": "907-306-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 TUDOR CENTRE DR",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085904",
"telephone_number": "907-729-5642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILBAO",
"first_name": "CHRISTINEJOY",
"middle_name": "CUNANAN",
"credential": "CEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "007985",
"primary": false
},
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "AK",
"license": "C153756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINEJOY",
"last_name": "CUNANAN",
"middle_name": "SOLIDUM",
"credential": "CEP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.