Individual provider Active NPI

Christinejoy Cunanan Bilbao, CEP

  • Clinical Exercise Physiologist
  • Anchorage, AK
National Provider Identifier
1184964199
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
C153756 Issued in AK
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

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
C153756AKMDClinical Exercise Physiologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.